Ear wax removal is necessary when ear wax build up becomes impacted. Symptoms causes by earwax blockage include: earache (otalgia), conductive hearing loss, blocked ear, vertigo, tinnitus, itchiness and irritation, occlusion etc.
The client suffers from chronic ear wax impaction (cerumenosis) in the left ear. In addition, and most likely unrelated, he has a retracted posterior tympanic membrane, so much so that it is wrapped over the head of the stapes (i.e. stirrup) and tympanosclerosis (i.e. scarring) anteriorly.
I successfully removed the occluding ear wax using E-suction. There was some dead skin present on the anterior canal wall. This was left as it would cause high-frequency clarenetting if attempted to remove. The skin will naturally shed and migrate outwards out of the ear.
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