Re: Extreme pain from suction cleaning

[Guest guest]

Has anyone experienced extreme pain during the suctionof an ear with c-toma where no surgery has yet beenperformed?

Definitely. Before I'd had any surgeries for ctomaI was having one ear suctioned out. Ctoma was present and I think they were cleaning infection out of that. Also, my eardrum was missing and it seemed like the suctioning was going on inside there too. It was so painful that I even had a big strong nurse hold me down one time to stop me from squirming. I've had both ears suctioned out regularly since and it's never been nearly so bad. I wonder if the fact that surgery usually widens the ear canal makes it less painful.

Phil

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[Guest guest]

I've just seen a highly recommended Harley St

otologist. I mentioned that the suction caused me

pain. He said it shouldn't and was baffled as to why I

was continually having my ears cleaned out. If it's

causing that much pain I'd refuse to have it. They can

clean it out manually if necessary.

Good luck

Helen

--- Phil <psmorris@...> wrote:

> Has anyone experienced extreme pain during the

> suction

> of an ear with c-toma where no surgery has yet been

> performed?

>

> Definitely. Before I'd had any surgeries for ctomaI

> was having one ear suctioned out. Ctoma was present

> and I think they were cleaning infection out of

> that. Also, my eardrum was missing and it seemed

> like the suctioning was going on inside there too.

> It was so painful that I even had a big strong nurse

> hold me down one time to stop me from squirming.

> I've had both ears suctioned out regularly since and

> it's never been nearly so bad. I wonder if the fact

> that surgery usually widens the ear canal makes it

> less painful.

>

> Phil> No virus found in this outgoing message.

> Checked by AVG Free Edition.

> Version: 7.1.394 / Virus Database: 268.8.1/355 -

> Release Date: 02/06/06

>

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[Guest guest]

I will be visiting my ent soon n i reckon he will use suction

cleaning again.

He seems like do not believe i really have extreme pain during the

process.

I do not know how to stop him from doing it.

How the manual cleaning is done? Will it casue sever pain too?

WW

>

> I've just seen a highly recommended Harley St

> otologist. I mentioned that the suction caused me

> pain. He said it shouldn't and was baffled as to why I

> was continually having my ears cleaned out. If it's

> causing that much pain I'd refuse to have it. They can

> clean it out manually if necessary.

>

> Good luck

>

> Helen

[Guest guest]

A small implement is used to clean out the wax. Ask

them to do it; they'll know what you mean. It

shouldn't hurt.

Helen

--- ww_chew <ww_chew@...> wrote:

> I will be visiting my ent soon n i reckon he will

> use suction

> cleaning again.

> He seems like do not believe i really have extreme

> pain during the

> process.

> I do not know how to stop him from doing it.

> How the manual cleaning is done? Will it casue sever

> pain too?

>

> WW

>

>

>

> >

> > I've just seen a highly recommended Harley St

> > otologist. I mentioned that the suction caused me

> > pain. He said it shouldn't and was baffled as to

> why I

> > was continually having my ears cleaned out. If

> it's

> > causing that much pain I'd refuse to have it. They

> can

> > clean it out manually if necessary.

> >

> > Good luck

> >

> > Helen

>

>

>

>

>

>

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[Guest guest]

My ENT told me that suction cleaning is to remove the

substance which may cause c-toma to deteriorate/grow

bigger, not just ear wax. Is that true?

WW

Helen wrote:

>Posted by: " Helen Jordan " >heleneajordan@...

heleneajordan

>Sat Jun 10, 2006 9:49 am (PST)

>A small implement is used to clean out the wax. Ask

>them to do it; they'll know what you mean. It

>shouldn't hurt.

__________________________________________________

[Guest guest]

My ENT told me that suction cleaning is to remove thesubstance which may cause c-toma to deteriorate/growbigger, not just ear wax. Is that true?

Hi WW - It's to remove wax, skin debris and anything else that might be lurking down the ear canal or in the mastoid cavity (if you've has a canal wall down). I picked up these suctioning guide lines from a medical site:

Phil

GUIDANCE FOR MICROSUCTION

PRINCIPLES - Use of the microscope and suction is carried out to: -

Remove cerumen and hygroscopic foreign bodies in patients who are not appropriate for ear irrigation.

Remove discharge, keratin or debris from the external auditory meatus or mastoid cavity.

This procedure is only to be carried out by a trained doctor, nurse or audiologist who have developed the skill of performing the use of the microscope and suction. The suction generates loud noise and patients sometimes complain of the discomfort of the procedure.

An individual assessment should be made of every patient to ensure that microsuction is appropriate.

PROCEDURE

Before careful physical examination of the ear, listen to the patient, elicit symptoms and take a careful history. Explain each step of any procedure or examination and assure yourself that the patient understands and gives consent.

Check whether the patient has had microsuction previously, explain the nature of the noise and that they can ask for a rest if they experience any vertigo (if this should occur ask the patient to focus their eyes on a fixed object until the feeling subsides).

Adjust the magnification, eye piece and angle of the microscope to the appropriate position. Request that the patient position themselves comfortably on the examination couch or chair.

First examine the pinna, outer meatus and adjacent scalp by direct light and check for incision scars and observe for skin defects.

Gently pull the pinna upwards and outwards (in infants downwards and backwards) to straighten out the meatus. Remember that the skin lining the deeper meatus is very delicate and sensitive.

Direct the microscope down into the ear. Insert the speculum gently into the cavity - use the largest size speculum that will fit comfortably into the ear.

Carefully check the cavity, tympanic membrane or drum remnant. Decide the size of suction tip most appropriate for the procedure and attach it to the suction tubing.

Turn the suction machine on, maintaining the pressure between 80 to 120mm Hg (18 to 20 cm H2O). Apply the suction tip to the areas requiring debris removal. Use an appropriate solution to wash through the suction tubing when it becomes blocked.

Avoid touching the wall of the meatus, cavity or drum/ drum remnant. By only touching the debris, most pain can be avoided.

The ear cannot be judged to be completely free of ear disease until the entire cavity and tympanic membrane or drum remnant has been seen. You may need to ask the patient to move his head e.g. lean head towards the opposite shoulder to be able to see more clearly into the roof of the meatus and posterior aspect of the cavity.

Methodically inspect all parts of the cavity, tympanic membrane or drum remnant by varying the angle of the microscope.

The normal appearance of the cavity varies and can only be learned by practice. Practice will lead to recognition of abnormalities.

Carefully check the condition of the external auditory meatus as you withdraw the speculum.

Advice should be given to the patient as appropriate.

Document what was seen in both ears, the procedure carried out, the condition of the tympanic membrane and external auditory meatus and treatment given. Findings should be documented with nurses following the NMC guidelines on record keeping and accountability. If any abnormality is found a referral should be made to the ENT Outpatient Department following local policy.

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[Guest guest]

I have never had pain with cleaning of my ears - however, I do hate

it. Did you ask the doctor? Perhaps, the doctor is not ver

experienced with it, or gentle? I might have it done by someone

else to compare...

>

> Has anyone experienced extreme pain during the suction

> of an ear with c-toma where no surgery has yet been

> performed? That is, no surgery except tubes during

> childhood, twenty or more years ago.

>

> After surgery, when the ear will need the regular

> maintenance cleaning, can it be expected to be as

> unbearable? Or worse?

>

> Right now, it seems the fear of this every three

> months is worse than fear of the surgery itself.

> If someone can help shed light on the possible cause

> of this searing pain (which lasts for days and is

> often followed by an infection in the ear following

> the suction cleaning) or if anyone can suggest a way

> to lessen the pain during the cleaning, I'd be deeply

> grateful.

>

> Thank you all for this site and your support and

> caring for each other.

>

>

> __________________________________________________

>