小结
定义
耵聍为分泌物和脱落上皮细胞的混合物。 耵聍栓塞由耵聍积聚而成，可引起听力受损、耳闷胀感、耳漏、耳鸣、头晕等症状，和/或妨碍到对外耳道、鼓膜或听觉前庭系统的评价。[1][Figure caption and citation for the preceding image starts]: 耵聍积聚经许可转载自：Hawke M. 耳病：临床指南。 Hamilton, London: Decker DTC; 2003 [Citation ends].
病史和体格检查
关键诊断因素
- 存在的危险因素
- 耵聍的观察
- 听力受损
- 耳闷胀感
其他诊断因素
- 耳漏
- 耳痛
- 耳鸣
- 咳嗽
- 眩晕
危险因素
- 50 岁以上或 5 岁以下
- 男性
- 狭窄的外耳道
- 唐氏综合征
- 棉签的使用
- 助听器的使用
- 住在疗养院
诊断性检查
需考虑的检查
- 听力敏度图
治疗流程
所有患者
撰稿人
作者
Stephen Wetmore, MD, MBA, FACS
Professor
Department of Otolaryngology
West Virginia University School of Medicine
Morgantown
WV
利益声明
SW declares that he has no competing interests.
同行评议者
Rahul K. Shah, MD, FAAP
Associate Professor of Otolaryngology and Pediatrics
Division of Otolaryngology
Children's National Medical Center
Assistant Professor
Otolaryngology and Pediatrics
George Washington University School of Medicine and Health Sciences
Washington
DC
利益声明
RKS declares that he has no competing interests.
Seth R. Schwartz, MD, MPH
Director of Research
The Listen For Life Center At Virginia Mason
Otology/Otolaryngology
Department of Otolaryngology
Virginia Mason Medical Center
Seattle
WA
利益声明
SRS is an author of a reference cited in this topic.
Robin Youngs, MD, FRCS
Consultant Otologist
Gloucestershire Royal Hospital
Gloucester
UK
利益声明
RY declares that he has no competing interests.
鉴别诊断
- 外耳道炎
- 阻塞性角化病
- 外耳道息肉
更多 鉴别诊断指南
- 临床实践指南（更新）：耳垢（耵聍栓塞）
更多 指南患者教育信息
Ear wax
更多 患者教育信息
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