Removal impacted cerumen requiring instrumentation, unilateral
CPT4 code
Name of the Procedure:
Removal of impacted cerumen requiring instrumentation (Unilateral)
- Common name: Earwax removal
- Medical term: Cerumen impaction removal
Summary
Earwax removal is a procedure to clear impacted earwax (cerumen) from the ear canal using specialized tools. This is done to relieve symptoms such as hearing loss, ear pain, or discomfort.
Purpose
Impacted earwax can block the ear canal and cause symptoms like hearing loss, pain, itching, and dizziness. The goal of this procedure is to remove the blockage, alleviate discomfort, and restore hearing.
Indications
- Hearing loss
- Ear pain or discomfort
- Dizziness or balance issues
- Itching in the ear canal
- Visible earwax blockage
- Ear fullness or pressure
Preparation
- Patients may be advised to soften the earwax with over-the-counter ear drops several days before the procedure.
- No specific fasting or medication adjustments are typically required.
Procedure Description
- The patient is seated comfortably with the affected ear exposed.
- The healthcare provider examines the ear using an otoscope.
- Using specialized instruments (e.g., curette, suction device, or forceps), the provider gently removes the impacted earwax.
- If necessary, irrigation with warm water may be used to assist in removing the wax.
Duration
The procedure typically takes around 15-30 minutes.
Setting
This procedure is usually performed in an outpatient setting such as a doctor's office or clinic.
Personnel
- Primary healthcare providers: General practitioners, ENT specialists (otolaryngologists), or trained nurses.
Risks and Complications
- Ear canal irritation or injury
- Brief dizziness
- Potential for minor bleeding
- Rarely, ear infection
Benefits
- Immediate relief from symptoms
- Improved hearing
- Increased comfort and reduced risk of further ear complications
Recovery
- Post-procedure, patients might experience a temporary sensation of fullness or slight discomfort, which usually resolves quickly.
- Patients may be advised to avoid inserting objects into the ear and to keep the ear dry for a few days.
Alternatives
- Ear drops to soften wax, followed by possible natural expulsion
- Home irrigation kits
- Observation if asymptomatic (letting the earwax clear on its own)
Pros of the procedure:
- Immediate relief
- Performed under medical supervision
Cons of alternatives:
- Longer duration for relief
- Potential for incomplete wax removal
Patient Experience
- During the procedure, the patient might feel some pressure or mild discomfort.
- Pain is usually minimal and well-managed.
- Patients report a significant improvement in hearing and comfort shortly after the procedure.