Letter to the Editor: Child Oil is Low-cost and Efficient for Ce… : Emergency Drugs Information


I learn Dr. Michelle Lin’s Put up-It Pearl within the December subject, and having heard this touted repeatedly over time, I felt compelled to reply. (“Colace for Ear Cerumen,” EMN. 2019;41[12]:5; http://bit.ly/3831uSz.)

In coping with impacted cerumen, it is necessary to do not forget that ear wax is certainly wax and is poorly soluble in water or water-based options. It’s, nevertheless, fairly soluble in oil, and it has been my expertise that mineral oil is a way more efficient and positively less expensive cerumenolytic to make the most of previous to tried irrigation. In truth, I’ve saved a bottle of child oil in my ED for years to be used in simply such conditions, usually with nice success.

My normal method is to fill the affected auditory canal with a couple of drops, have the affected person stay in lateral decubitus for 15-20 minutes to permit the oil to melt the cerumen. Then using a 20-30 mL syringe and a 20-gauge catheter, I forcefully irrigate the canal with lukewarm faucet water (vital to avoiding an inadvertent caloric take a look at), aiming the stream at any apparent gaps between the cerumen and the canal wall till canal patency is achieved. Not uncommonly, the cerumen impaction is expelled as a big plug.

As a therapeutic agent, child oil is available, grime low-cost, and extremely efficient. After I discharge sufferers after miraculously restoring their listening to, I usually counsel that they carry out the same course of periodically at house to forestall symptomatic reaccumulations, hopefully saving them (and us) future journeys to the ED for recurrent episodes.

Michael S. Omori, MD

Timaru, New Zealand

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