Catastrophic otologic injury from oral jet irrigation of the external auditory canal

R. C. Dinsdale; P. S. Roland; S. C. Manning; W. L. Meyerhoff

doi:10.1288/00005537-199101000-00014

Catastrophic otologic injury from oral jet irrigation of the external auditory canal

R. C. Dinsdale, P. S. Roland, S. C. Manning, W. L. Meyerhoff

Otolaryngology - Head And Neck Surgery

Research output: Contribution to journal › Article › peer-review

39 Scopus citations

Abstract

Jet irrigation is an accepted method for removal of cerumen from the external auditory canal. Even at a submaximal power setting, oral jet irrigators can generate enough force to rupture the tympanic membrane. Parameters for safe use of these irrigators have never been established. Three cases are reported in which, in addition to tympanic membrane rupture, oral jet irrigators caused ossicular disruption, round and oval window fistulae, and subluxation of the stapedial footplate. A prospective study performed on 25 fresh cadavers demonstrated a 6% incidence of tympanic membrane perforation when the power setting was one-third full power or greater. Recommendations are made for safe use of oral jet irrigators for removal of external auditory canal cerumen.

Original language	English (US)
Pages (from-to)	75-78
Number of pages	4
Journal	Laryngoscope
Volume	101
Issue number	1
DOIs	https://doi.org/10.1288/00005537-199101000-00014
State	Published - Jan 1991

ASJC Scopus subject areas

Otorhinolaryngology

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10.1288/00005537-199101000-00014

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abstract = "Jet irrigation is an accepted method for removal of cerumen from the external auditory canal. Even at a submaximal power setting, oral jet irrigators can generate enough force to rupture the tympanic membrane. Parameters for safe use of these irrigators have never been established. Three cases are reported in which, in addition to tympanic membrane rupture, oral jet irrigators caused ossicular disruption, round and oval window fistulae, and subluxation of the stapedial footplate. A prospective study performed on 25 fresh cadavers demonstrated a 6% incidence of tympanic membrane perforation when the power setting was one-third full power or greater. Recommendations are made for safe use of oral jet irrigators for removal of external auditory canal cerumen.",

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AU - Manning, S. C.

AU - Meyerhoff, W. L.

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AB - Jet irrigation is an accepted method for removal of cerumen from the external auditory canal. Even at a submaximal power setting, oral jet irrigators can generate enough force to rupture the tympanic membrane. Parameters for safe use of these irrigators have never been established. Three cases are reported in which, in addition to tympanic membrane rupture, oral jet irrigators caused ossicular disruption, round and oval window fistulae, and subluxation of the stapedial footplate. A prospective study performed on 25 fresh cadavers demonstrated a 6% incidence of tympanic membrane perforation when the power setting was one-third full power or greater. Recommendations are made for safe use of oral jet irrigators for removal of external auditory canal cerumen.

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Catastrophic otologic injury from oral jet irrigation of the external auditory canal

Abstract

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