A Novel Earwax Self-Sampling Device: A Feasibility Study

(1) Background: Earwax might provide the long-term concentration of substances that are altered in chronic diseases. Standardised earwax extraction has to be exclusively performed by clinicians. We investigated the safety, reliability, and tolerance of a novel self-sampling earwax device in comparison with a clinical method; (2) Methods: We compared the reliability between both methods in a longitudinal study. We first cleaned both ears at baseline in 37 controls. Secondly, we obtained a sample a month after by extracting earwax from the right ear with a novel self-sampling device, and from the left ear by using the clinical method. Reliability of both methods was measured by coefficients of variation; (3) Results: The weight of the baseline samples was not significantly different between ear sides. The reliability of the two methods was not significantly different. The self-extraction method removed eight times more earwax than the clinical method. The new method proved to be well tolerated; (4) Conclusions: The novel device was as reliable as the clinical method in sampling earwax. In view of its practicality, safety, tolerability and efficiency, the new method may have clinical applications at a reduced cost.

[1]  J. Wilson,et al.  Ear wax removal: a survey of current practice. , 1990, BMJ.

[2]  U. Welsch,et al.  Human ceruminous gland: ultrastructure and histochemical analysis of antimicrobial and cytoskeletal components. , 2006, The anatomical record. Part A, Discoveries in molecular, cellular, and evolutionary biology.

[3]  O. H. Lowry,et al.  Micro‐chemical studies on normal cerumen I. The lipid and protein content of normal cerumen as affected by age and sex , 1955, The Laryngoscope.

[4]  M. Hotopf,et al.  Sociodemographic, lifestyle, and psychosocial determinants of hair cortisol – Evidence from a south London community sample , 2016, Psychoneuroendocrinology.

[5]  E Versi,et al.  "Gold standard" is an appropriate term. , 1992, BMJ.

[6]  M. Hamoda,et al.  Crude oil dissolution in saline water , 1988 .

[7]  S. Govender,et al.  Self-ear cleaning practices and the associated risk of ear injuries and ear-related symptoms in a group of university students , 2017, Journal of public health in Africa.

[8]  A. Rebora,et al.  A technique for measuring the rate of cerumen production , 1986, The Laryngoscope.

[9]  Nelson Roberto Antoniosi Filho,et al.  Earwax: A neglected body secretion or a step ahead in clinical diagnosis? A pilot study. , 2017, Journal of proteomics.

[10]  A. Rebora,et al.  Production rate and composition of cerumen: Influence of sex and season , 1990, The Laryngoscope.

[11]  P. Wertz,et al.  Composition of cerumen lipids. , 1990, Journal of the American Academy of Dermatology.

[12]  S. Dagogo-Jack Pitfalls in the use of HbA1c as a diagnostic test: the ethnic conundrum , 2010, Nature Reviews Endocrinology.

[13]  Kia-Chong Chua,et al.  Short‐term and long‐term measures of cortisol in saliva and hair in atypical and non‐atypical depression , 2018, Acta psychiatrica Scandinavica.

[14]  A Novel Earwax Method to Measure Acute and Chronic Glucose Levels , 2020, Diagnostics.

[15]  M. Bachmann,et al.  Effectiveness of ear syringing in general practice: a randomised controlled trial and patients' experiences. , 2002, The British journal of general practice : the journal of the Royal College of General Practitioners.

[16]  D. Prais,et al.  Cotton-tip applicators as a leading cause of otitis externa. , 2004, International journal of pediatric otorhinolaryngology.

[17]  K. Munro,et al.  Hearing loss in adults, assessment and management: summary of NICE guidance , 2018, British Medical Journal.

[18]  T. Hirao,et al.  Some magnesium salts and a mixture of magnesium and calcium salts accelerate skin barrier recovery , 1999, Archives of Dermatological Research.

[19]  H. Maibach,et al.  Putative skin‐protective formulations in preventing and/or inhibiting experimentally‐produced irritant and allergic contact dermatitis , 1999, Contact dermatitis.

[20]  S. Arabia,et al.  The Antimicrobial Activity of Some Honey Bee Products and some Saudi Folkloric Plant Extracts , 2011 .

[21]  P. McCullagh,et al.  Generalized Linear Models , 1972, Predictive Analytics.

[22]  A. Young,et al.  Measuring Earwax Cortisol Concentration using a non-stressful sampling method , 2020, Heliyon.

[23]  R. Williams,et al.  Finding the most effective cerumenolytic , 2013, The Journal of Laryngology & Otology.

[24]  A. Felicioli,et al.  Beeswax: A minireview of its antimicrobial activity and its application in medicine. , 2016, Asian Pacific journal of tropical medicine.

[25]  C. Crandell,et al.  Incidence of excessive/impacted cerumen in individuals with mental retardation: a longitudinal investigation. , 1993, American journal of mental retardation : AJMR.

[26]  Paul E. Spector Measurement of human service staff satisfaction: Development of the Job Satisfaction Survey , 1985, American journal of community psychology.

[27]  J. Vadivelu,et al.  Antibacterial and antifungal properties of human cerumen. , 2009, The Journal of laryngology and otology.

[28]  C. Wysocki,et al.  Identification of volatile organic compounds in human cerumen. , 2014, Journal of chromatography. B, Analytical technologies in the biomedical and life sciences.

[29]  F. Meurens,et al.  The immunology of the porcine skin and its value as a model for human skin. , 2015, Molecular immunology.

[30]  N. Sadato,et al.  The cerebral representation of scratching-induced pleasantness. , 2014, Journal of neurophysiology.

[31]  M. Unal,et al.  Has cerumen a protective role in recurrent external otitis? , 2003, American journal of otolaryngology.

[32]  P. Little,et al.  The safety and effectiveness of different methods of earwax removal: a systematic review and economic evaluation. , 2010, Health technology assessment.

[33]  D. Arnone,et al.  The prevalence of psychological consequences of COVID-19: A systematic review and meta-analysis of observational studies , 2020, Journal of health psychology.