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At least 19 recordsLinked to original sources

Swirls, wrinkles and the whole ball of wax (the source of keratin in cerumen).

Recent work carried out at the Ear Pathology Research Laboratory has demonstrated that cerumen plugs consist of a large amount of keratin debris. In this study the site of origin of this keratin was investigated. This was done by histologically examining these cerumen plugs without disturbing the natural relationship between the plug and the surrounding epithelium. We have clearly demonstrated that a cerumen plug consists of keratin arising from the migratory epithelium of the deep external auditory canal and epithelium of the superficial external auditory canal.

Cadaver

Association of race, age, menopausal status, and cerumen type with breast fluid secretion in nonlactating women, as determined by nepple aspiration.

Biologic and physiologic factors associated with the availability of breast secretions by a nipple aspiration technique were investigated in 606 normal, non-lactating women. Data obtained on race, age, menstrual status, parity, contraceptive pill use, hormone use, and cerumen type indicated that availability of secretions was related to race, age, and menopause, and to genetic factors associated with apocrine bland function. Fluid aspirates were obtained most often from Caucasians (70.2% success), least often from Chinese (24.1% success). The percentage of successful aspirations declined in women over 50 years of age in all racial groups, but distinctly less so in Caucasians. Chinese and Japanese women with dry-type cerumen had a lower percentage of successful aspirations than those with wet type, which suggested that genetic factors may be associated with breast fluid secretion in nonlactating women.

Age Factors

Managing cerumen impaction.

The external auditory canal is self-cleaning. Excessive cerumen accumulation usually results from misguided attempts to remove wax and may go unnoticed until a hearing loss occurs. Mechanical removal of the wax or use of a ceruminolytic agent to soften it is recommended--irrigation may contaminate the middle ear space.

Cerumen

Misdiagnosis complicating acupuncture.

A 33-year-old man, profoundly deaf since the age of 5 from meningitis, received 25 acupuncture treatments at a center in western Massachusetts. Subsequent hearing evaluation at the Yale New Haven Medical Center again confirmed his profound deafness. He also was found to have cerumen (rock-hard and long standing) in both ear canals. Final removal of the cerumen one week later permitted inspection of a normal eardrum on the right and a debris-filled retraction pocket on the left. The diagnosis of cholesteatoma was confirmed at surgery. Representatives of the medical profession should accept responsibility for adequate examination and diagnosis before starting treatment.

Acupuncture Therapy