Chlorobutanol, Potassium Carbonate, and Irrigation in Cerumen Removal
Study Details
Study Description
Brief Summary
Accumulation of cerumen in the external ear canal is a common problem. The presence of cerumen not only interferes with the clinician's view of the tympanic membrane, but may also result in hearing loss and vertigo, and may predispose to ear infections.
Removal of cerumen is facilitated by the use of a variety of ceruminolytics, or wax solvents. The current study was designed to evaluate the ceruminolytic effects of a single, brief application of the two most frequently used products in the investigators area, containing chlorobutanol or potassium carbonate with or without irrigation in the primary care setting in a randomized, single-blind trial. To our knowledge, this is the first randomized study comparing ceruminolytics with chlorobutanol versus potassium carbonate.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Detailed Description
INTERVENTIONS: Subjects were randomly assigned to one of three different treatments:
Otocerum®; Taponoto ®, and a control group with sterile saline solution (NaCl 0.9%, Braun Medical SA, Barcelona, Spain). The test medication was instilled into an occluded ear for 15 minutes. Following this treatment, the subject's ear was irrigated with 50 mL of water. The main outcome was the proportion of tympanic membranes that were completely visualized after cerumenolytic agents or saline, alone or with irrigation if needed.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: 2 Taponoto ® (potassium carbonate 20 mg/1 ml, ethyl alcohol, glycerol 480, thymol 0.4; Teofarma Iberica S.A., Barcelona, Spain), |
Drug: drops intilation (Taponoto ® )
four drops, unique doses
|
Placebo Comparator: 3 sterile saline solution (NaCl 0.9%, Braun Medical SA, Barcelona, Spain). |
Drug: drops intilation (Placebo)
Placebo
|
Experimental: 1: Chlorobutanol ceruminolytic product, Otocerum® (Chlorobutanol 50 mg/1 ml, phenol 10 mg/1 ml, turpentine essence 0.15 ml/1 ml, ethyl alcohol; Reig Jofre laboratories, Barcelona, Spain), |
Drug: drops intilation (Otocerum®)
four drops, unique doses
|
Outcome Measures
Primary Outcome Measures
- proportion of tympanic membranes that were completely visualized after cerumenolytic agents or saline, alone or with irrigation if needed [2008]
Secondary Outcome Measures
- adverse effects [2008]
Eligibility Criteria
Criteria
Inclusion Criteria:
- Clinical diagnosis of ear cerumen
Exclusion Criteria:
- Infection
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Hospital Clinic | Barcelona | Spain | 08036 |
Sponsors and Collaborators
- Hospital Clinic of Barcelona
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- CLO2008/4503