Bilateral cerumen impaction

Clinical note

Bilateral cerumen impaction

CC: Decreased hearing both ears, established patient.
HPI: 72 y/o with gradually muffled hearing bilaterally over a month, no pain, no drainage, no tinnitus. Uses cotton swabs.
Exam: Bilateral impacted cerumen fully occluding both canals. TMs not visualized initially.
Procedure: Removed the impacted cerumen from both ears with a curette and warm water irrigation under otoscopic visualization. TMs intact and normal after removal.
A/P: Cerumen impaction bilaterally, removed. Hearing subjectively restored. Counseled to stop cotton swabs.