You can also use a commercial ear irrigation kit. Most of the time, medicine or surgery cannot. Anatomically, this region houses a collection of pilosebaceous glands that includes ceruminous glands, hair follicles, and sebaceous glands. either of the two organs, one on each side of the head, by which people or animals hear sounds…. Ear candles are hollow cone candles made of wax-covered fabric. Tilt the patients head slightly forward and to the affected side. Warn the person that instilling ear drops may cause transient. IRRIGATION meaning: 1. To irrigate is to water crops by bringing in water from pipes, canals, sprinklers, or other man-made means, rather than relying on rainfall alone. To transfer sterile articles. 72. Some of the alternative remedies of Ear irrigation Use of salt water in ear. More serious symptoms could mean. It is used alone or in association with other therapies in several conditions—including chronic rhinosinusitis and allergic rhinitis—and to treat and prevent upper respiratory tract infections, especially in children. People often refer to irrigation as syringing, which is not quite correct. If it’s old and is now coming out it may have a smell to it because of the infection. It occurs primarily in immunocompromised. e. Ear Irrigation. Nasal irrigation is the practice of flushing the nasal cavity with a sterile solution. Cerumen (i. Ear irrigation involves using a pressurised flow of water to remove the build-up of ear wax. Ear barotrauma is a condition that causes ear discomfort due to pressure changes. Irrigation of the ear is one method providers can use to treat cerumen impaction when appropriate. Contraindications. By: Chris Belcher and Jacob Avila, MD RDMS. Is something important missing?Irrigation of the ear is one method providers can use to treat cerumen impaction when appropriate. 1. The water could be left over from the irrigation, from an ear infection (but the antibiotics would remedy that), could be from damage to ear drum (if it's bruised or irritated), or could be the softened wax coming out. DEFINITION An ear irrigation is the process of flushing the external ear canal with sterile water or normal saline. 5. Caloric testing is a useful clinical tool in the assessment of dizziness. External otitis is an acute infection of the ear canal skin typically caused by bacteria ( Pseudomonas is most common). NAVEH PHARMA CleanEars Earwax Removal Spray Ear Wax Softener Cleaner Ear Irrigation and Wax Dissolution – All-Natural Patented Formula – Nonirritant. DEFINITION: Ear irrigation is the washing of the external. The ear is composed of many mechanical parts and nerves that not only interpret sound, but also correct imbalance in the body. ; Record yourself saying 'ear irrigation' in full sentences, then watch yourself and listen. Drain normal secretions from the middle ear. You don’t want to improvise when you’re sticking syringes in your ears. If your child is showing signs of ear-related pain or discomfort, it's best to reach out to their pediatrician. Secondary outcomes were: extent of wax clearance; proportion of people (or ears). It is only to be removed as a last resort if impacted, affecting hearing, impeding an adequate view of the ear canal or ear drum, or to effectively instil medicated ear drops. These contraindications are a patient's inability to sit upright, a patent tympanostomy tube, a patient who is. Ear irrigation may also be used for caloric stimulation. Beli Ear Irrigation terlengkap harga murah Agustus 2023 di Tokopedia! ∙ Promo Pengguna Baru ∙ Kurir Instan ∙ Bebas Ongkir ∙ Cicilan 0%. cerumen; irrigation; self-cleaning; ear cleaning. Ear irrigation can not only clean your ear canals but can release impacted cerumen. Have the patient sit up or lie with head tilted toward the side of the affected ear. 6. When repaired appropriately, lacerations to the ear generally heal well because of this generous dual blood supply. You may use a bulb/ear syringe, large medical syringe (30 cc), or Water Pik with【High definition 1080P】The ear wax removal kit adopts a high-definition 1080P, 360 ° wide-angle macro camera, and is equipped with 6 bright LED lights. Symptoms of otitis externa include: 2. Irrigation definition: . Ringing or noises in the ear (tinnitus) Hearing loss. By using caloric irrigation, you are stimulating each end. irrigation at a higher volume than manual devices. Ear irrigation If ear drops do not work, the doctor may recommend a procedure known as irrigation. Symptoms include pain, discharge, and hearing loss if the ear canal has swollen shut; manipulation of the auricle causes pain. 5. While it’s generally a safe process, it’s not uncommon go experience einige dizziness and select symptoms afterward. Itching, pain, and temporary conductive hearing loss may result. Water supplies may be classified as surface or subsurface. For example, the ear canal should be straightened for easier irrigation. 4. Inner ear, consisting of: Cochlea. This condition affects your hearing by damaging your stape, a tiny U-shaped bone in your middle ear. Cerumen, or earwax, is a combination of glandular secretions and desquamated epithelial cells that cleans, protects, and lubricates the external. Ear irrigation is the process of flushing the external ear canal with sterile water or sterile saline. S syringing the ear has low risks, and it provides a number of benefits, including improved hearing. Usually, the procedure takes between 15 to 30 minutes. Clinicians perform an otoscope exam to assess the condition of the external auditory canal (EAC), tympanic membrane (TM), and the middle ear. In the literature, there are only few cases reported about aural myiasis. PURPOSES. It can also. Purpose Nasal irrigation is used to clear infected sinuses or may be performed after surgery to the nose region. This keeps infections from being caused by different people and makes the system more sanitary. One ear is tested at a time. Your GP may be able to offer an earwax removal service if earwax build-up is causing you hearing loss, as recommended in the National Institute for Health and Care Excellence (NICE) guidelines in 2017. Gently squeeze the bulb syringe and let the solution flow into the ear and out into the pan or onto a towel. Before trying to flush or irrigate the earwax, you can use a cerumenolytic agent to help with removal. It cleans, lubricates, and protects the lining of the ear canal, trapping dirt, dust, and hair, and repelling water. ence of cerumen or for eign objects; attempted. Stapedectomy. Such can usually done to cleanse the ear canal of any discharge, soften and remove impacted ear wax, or extricate a foreign body from a patient’s one. , topical preparations, irrigation, cleaning hearing aids and the ear canal) can be provided to patients presenting with too much cerumen or impaction. To remove the foreign bodies. Common eustachian tube dysfunction symptoms include: Hearing problems. The feeling of fullness is the result of a blocked Eustachian tube, which connects your throat to your ear and allows the middle ear to drain fluid. Plugged or fullness sensation. Unremoved earwax buildup can lead to infection. Assist the client to a sitting position or lying position with the head tilted towards affected ear. 7. See examples of IRRIGATION used in a sentence. PURPOSE: To remove the ear wax . The. it is used to treat patients who complain of foreign body or cerumen (ear wax) impaction Ear irrigation entails rinsing the external. Creating a vacuum. Ringing in the ear. instil water into the ear canal 15 minutes before repeating ear irrigation. Step 2:Glue ear, known as adhesive otitis, is a condition that occurs when the middle part of your ear fills with fluid. 1 Offer to remove earwax for adults in primary care or community ear care services if the earwax is contributing to hearing loss or other symptoms, or needs to be removed in order to examine the ear or take an impression of the ear canal. 5. (1) Place the container of warm solution in a pan of warm water until solution is between 95º to 105ºF (a little warmer than the normal body. Because the VOR requires an intact. ear: [noun] the characteristic vertebrate organ of hearing and equilibrium consisting in the typical mammal of a sound-collecting outer ear separated by the tympanic membrane from a sound-transmitting middle ear that in turn is separated from a sensory inner ear by membranous fenestrae. This method is less invasive than 69210: A continuous, low-pressure flow of liquid (e. Irrigation, on the other hand, refers to the process of flushing out a body cavity or wound with a stream of liquid. Understand and apply drug administration safety guidelines (seven rights). Pharyngeal or tracheal foreign bodies are medical emergencies requiring surgical consultation. Fully open the tubing to achieve optimal irrigation flow. Ear irrigation is performed by doctors, audiologists, and nurses. For clinical responsibility, terminology, tips and additional info start codify free trial. irrigation: [noun] the therapeutic flushing of a body part with a stream of liquid. Anatomically, this. Ear Infections. Associated symptoms may include ear pain, fever, pruritus, vertigo Dizziness and Vertigo Dizziness is an imprecise term patients often use to describe various related sensations, including Faintness (a feeling of impending syncope) Light-headedness Feeling of imbalance or unsteadiness. When carrying out ear irrigation in adults: use pre-treatment wax softeners, either immediately before ear irrigation or for up to 5 days beforehand. Ear syringing, also known as ear irrigation, is a. Ear irrigation is usually done to clear the ear canal, clean any discharge, soften and remove ear wax, or remove a foreign body from the patient's ear. by StuckonStuck. Examining the ear also helps the provider see if treatment for an ear problem is working. Created for people with ongoing healthcare needs but benefits everyone. DEFINITION • An eye irrigation is the washing of the conjunctival sac by a stream of liquid. Clicking or popping sounds. iStock-911015476. This is typically done to remove debris, control bleeding, or promote healing. This is a more controllable and direct way of allowing plants to receive a steady stream of water, though. Reporting 69209. EYE IRRIGATION INTRODUCTION: An irrigation is the washing or flushing of an area , using a large volume of fluid in order to cleanse, to apply heat or to apply medications. The eardrum. The absence of earwax may result in dry, itchy ears. Ask the patient to hold the receiver under the same ear. Should not be painful. ear canal with saline solution. Pain that mimics an ear infection. It is a common procedure that is often used to treat conditions such as swimmer’s ear, ear infection, and excessive wax build-up. Allow the water to sit for a few minutes to dissolve the. EAR IRRIGATION . Ear syringing is a very common practice among general practitioners (GPs). Put ear drops in the child's ear if. An individual assessment should be made of every patient to ensure that it is appropriate for ear irrigation to be carried out. The process involves infusing water into the colon through the stoma. When I need someone to talk to, Patricia is always willing to lend an ear. Fill the reservoir of the irrigator; check that the temperature of the water in the tank is approximately 38 C - 40 C. The cyst grows gradually over time and may lead to serious complications such as: abscess in the brain. Eye irrigation. There are a few contraindications to performing irrigation of the ear including lack of patient consent. Current NICE guidance recommends the use of a. Later in 1957, Nygaard-Ostby introduced the ethylenediaminetetraacetic acid (EDTA) solution for root canal irrigation. Ear Irrigation Protocol for SCC Care Coordinators Patient: The patient presents with suspected cerumen impaction, either due to history of the same, loss of hearing, or. Ear irrigation is the removal of wax from the ear using water via an electronic irrigator. Cleaning wax out of ears should be done very carefully. CPT® code 69209 Removal impacted cerumen using irrigation/lavage, unilateral reports removal of impacted cerumen by irrigation and/or lavage. Most causes of obstruction are readily apparent during otoscopic examination. e. The ear canal is inflamed in some cases following ear irrigation. a device that consists of a nozzle of varying length and a compressible rubber bulb and is used for injection or irrigation. Your best source for high quality, premium Dental products for your practice. Fill the reservoir of the irrigator; check that the temperature of the water in the tank is approximately 38 C - 40 C. Although. 5 Responsibility The Executive Director for Nursing and Governance has overall. What are the instructions? Plan to irrigate your nose with hypertonic solution saline 2-3 times per day. The solution may contain antibiotics or steroid medications. Irrigation is the most common method of removing impacted cerumen. Clinicians use the process during routine wellness physical exams and the evaluation of specific ear complaints. To remove foreign bodies. Bacteria inside the ear become trapped and begin to grow. Irrigation should NOT be carried out if: the patient has previously experienced complications following this procedure in the past there is a history of a middle ear infection in the last six weeks Ear irrigation. This is a straightforward procedure where a controlled flow of water, at body temperature, is squirted into the ear through a purpose-made machine (an electronic ear irrigator. Precautions: (Ear irrigation should be carried out on a low setting) • the patient has tinnitus • the patient suffers from dizziness • the patient is taking anti-coagulants or high dose steroids • the patient is immunocompromised • the. You are about to perform an ear irrigation on a 5-year-old child. How should you position the child's ear? pull the auricle downward and back. substances). The eustachian tube helps to equalize the pressure in the middle ear. The AMA CPT. Treatment regimes for impacted wax fall into one of four categories: watch and wait, cerumenolytic agents (sodium bicarbonate, olive oil, almond oil, water/saline), irrigation, and manual removal. In each ear there is a tube that connects the middle of your ear to your throat and nose. Irrigation should NOT be carried out if: the patient has previously experienced complications following this procedure in the past there is a history of a middle ear infection in the last six weeksDEFINITION • An ear irrigation is the process of flushing the external ear canal with sterile water or normal saline. The ear wax can be flushed out using the liquid or can be softened with ear drops so that it can be removed with the instrument. It is used to treat patients who complain of foreign body or cerumen (ear wax). Straighten the ear canal i. It acts to shield the skin of the external canal from water damage, infection, trauma, and foreign bodies [ 1,2 ]. A cerumen impaction is an accumulation of cerumen that causes symptoms, such as hearing loss, fullness, otorrhea, tinnitus, dizziness, or other symptoms, and/or prevents a required assessment of the ear canal, tympanic membrane, or audiovestibular system. For years now I’ve had to go and get my ears irrigated to get the compacted wax out, at least twice a year, for the last 20 or so years, no matter what I do to try and keep them clean. Comprehend the medico-legal requirements of ear irrigation (Box 5) regularly demonstrate competence in ear care Develop a protocol for ear irrigationThe ear wick is a compressed sponge, placed in the canal, which then expands with moisture — ear wicks improve penetration of topical antibiotics to the medial portion of the canal, and increase topical contact time. This method is less invasive than. Questions are posted anonymously and can be made 100% private. Describe and demonstrate the preparation for ear irrigation and for instillation of medication into an ear. pptx. DATE: NOVEMBER 4, 2021 EAR IRRIGATION DEFINITION Ear irrigation is a routine procedure used to remove excess earwax, or cerumen, and foreign materials from the ear. Cerumen, or ear wax, is a naturally occurring substance that is produced at the lateral one-third of the external auditory canal (EAC). Steps of the otoscope exam include inspecting the EAC and the TM with its identifying landmarks as outlined below. Objectives: Identify the the indications for ear irrigation. The primary outcomes were 1) the proportion of patients (or ears) with complete clearance of ear wax and 2) adverse effects (discomfort, irritation or pain). 7K views•9 slides. Your stape helps you hear by sending sound waves from your middle ear to your inner ear. Parents or teachers may notice this, especially in noisy places such as classrooms. Eye, Ear, and Nose Injuries. Swimmer’s ear (also known as otitis externa) is a bacterial infection typically caused by water that stayed in the outer ear canal for a long period of time, providing a moist environment for bacteria to grow. Break 'ear irrigation' down into sounds: say it out loud and exaggerate the sounds until you can consistently produce them. How To Use Irrigation In A Sentence. Ear wax, or cerumen, is a. To protect bedding and garments. Ear irrigation is a simple procedure done in the ear specialist’s office for removing the excess or buildup of cerumen/ earwax or any foreign substance present within the ear. The procedure must be performed carefully so that it. A cholesteatoma is an abnormal collection of skin cells deep inside your ear. SARASWATHY. Symptoms of an earwax impaction include: Decreased hearing. This condition affects your hearing by damaging your stape, a tiny U-shaped bone in your middle ear. This procedure has replaced the old-fashioned technique of ear syringing. Earwax is a natural bodily. . Post-nasal drip. Options include sodium bicarbonate 5% ear drops, olive or almond oil drops, and sodium chloride 0. 30 Disposable Irrigation Tips . Caloric testing is a useful clinical tool in the assessment of dizziness. Earwax: Summary. This snail-shaped structure contains two fluid-filled chambers lined with tiny hairs. Purpose. Place an emesis basin next to the eye to catch drainage d. Healthy earwax color and texture can greatly vary. I'm not sure, but it started 6 hours after the procedure. To access the deeper external ear canal structures during the procedure, you should:, Ear irrigation should not be performed if. Glue ear is not an infection, but usually follows one or more middle ear infections. You'll be surprised the gunk that comes out. It may be serous, serosanguineous, or purulent. To irrigate ear. ear up as irrigation proceeds. HydroCleanse Sinus Wash Delivery System. EYE IRRIGATION 2. Treatment is with debridement and topical drugs, including. Eye instillation and ointment Archana Syiem. Sometimes, irrigation aims to relieve localized inflammation and discomfort. But actually, the practices that many people use for ear cleaning simply push earwax further into the canal. Beyond the Pain . The current procedural terminology (CPT) code for foreign body removal from the ear without general anesthesia is 69200. 20. To receive waste. deafness. The irrigator has variable pressure control so that irrigation can be performed at the minimum pressure. . 1, 2 About 5% of adults, 10% of children and one-third of geriatric and cognitively impaired individuals are affected. Places that have sparse or seasonal rainfall could not sustain agriculture without irrigation. Though both surface and subsurface water come from precipitation such as rain or snow, it is far more difficult to determine the origin of subsurface water. A mackintosh and a towel. In order to help Otolaryngologist – Head and Neck Surgeons correctly code, the Academy helped the American Medical Association (AMA) draft a CPT Assistant article on the removal of impacted cerumen. Should not be painful. Do not have your ears syringed if you are unsure of any contraindications to it before going in. DEFINITION An ear irrigation is the process of flushing the external ear canal with sterile water or normal saline. Then we are more inclined to use microsuction as the best option. Ear irrigation is a procedure in which nurses flush their patient’s ear canal with sterile water or saline solution. Irrigation is another option for managing the patient with impacted cerumen. Thank. Repeated with the other ear. 5. 1. A small, low-pressure suction device is used to perform the procedure. Sweep both the inferior and superior fornices. pdf from NUR 116 at Cebu Doctors' University - Mandaue City. If you apply more oil the wax in your ear is likely to be more liquified. A stapedectomy is surgery to treat hearing loss caused by otosclerosis. Place a warm, wet towel over the. A controlled flow of warm water will be squirted into your ear canal to flush out the earwax. In one hand, hold the end of the IV tubing about 3 to 5 cm from the eye. Vocabulary. Irrigation canal on the left. A kidney tray and a paper bag. c. Before and after attempting to remove. Fans say that as the candle burns, it creates a. The provider flushes or washes (irrigation/lavage) out the entrapped wax (cerumen) from a patient’s external ear canal with a stream of water to correct hearing loss or discomfort. Direct the flow of. Ear irrigation is the process of flushing the external ear canal with sterile water or sterile saline. Production of cerumen (earwax) is a normal biological process in humans and many other mammals. Ear irrigation Manikandan T. Ear pain. figurative, dated (listen to [sb]) prestar atención, escuchar con atención, escuchar atentamente loc verb. Ear Irrigation. Ear drainage can include: earwax. In most cases, earwax impaction isn’t dangerous and symptoms go away with treatment. Which of the following best describes the correct method for an ear irrigation? hold the tip of the syringe 1/2 inch from the ear and aim towards the top of the ear canal. An electronic ear irrigator is used; it involves a pressurised flow of warm water that removes the build-up of earwax. The doctor will apply a high-pressure flow of water to the ear canal to dislodge and remove the plug. It can also make the middle ear vulnerable to infections. Ear irrigation is one way to remove and prevent earwax buildup. 7. To apply heat. Sometimes, the ear canal can. To remove the foreign bodies. Untreated earwax buildup can lead to hearing loss, irritation, pain in your ear, dizziness, ringing in your ears and other issues. Patient is to sit upright in shower/bath tub and use one bulb of pre-measured solution mixture per ear. They might recommend medicines to dissolve the earwax. 3. EASY USE: Flared design, Prevents over insertion and cleans ears effortlessly. Accumulation of cerumen is usually asymptomatic but can occasionally cause bothersome symptoms, such as hearing loss and/or ear discomfort. Tilt the head to the affected side and backward. cotton balls in a container to. vertigo (a spinning sensation) ear infections. The ears are on both sides of the head, for there to be a. 69210 vs. In areas that have irregular precipitation, irrigation improves crop growth and quality. Don’t raise the volume in your car’s sound system up too high. [1] [. Equalized pressure is needed for the correct transfer of sound waves. Browse our full selection of products and order online. Earwax blockage is only a temporary issue, and your symptoms should disappear after you treat the condition. If you feel you are unable to wait, contact Cincinnati Children's, 513-636-4200, and ask for the ENT resident on call. But too much can sometimes accumulate and lead to itchiness, pain, a feeling of fullness, and even coughing. Second this. Manual removalData collection and analysis. Ear irrigation :. hearing loss. ago. Definition Cerumen impaction refers to the buildup of layers of earwax within the ear canal to the point of blocking the canal and putting pressure on the eardrum. Learn more. Shop Henry Schein Dental for the best selection in Irrigating Devices. This activity reviews the indications, contraindications and potential complications of ear irrigation. Sometimes, the ear canal can becom. 52,53 Driscoll et al demonstrated that the pH of diabetic cerumen is. In one hand, hold the end of the IV tubing about 3 to 5 cm from the eye. vertigo – the sensation that you, or the world around you, is spinning. Straighten the auricle by pulling back and down. Lernen Sie die Übersetzung für 'irrigation' in LEOs Englisch ⇔ Deutsch Wörterbuch. The eustachian tube is lined with mucous, just like the inside of the nose and throat. The yellowish waxy substance is a combination of lubricants and dry. Inspected pinna and external auditory meatus for. pptx. Ear cleaning kit provide 30 disposable soft ear tips that can be replaced after one use. To clean the external ear of cerume or ear wax. Colostomy irrigation is a way to regulate bowel movements by emptying the colon at a scheduled time. Purposes. For this, you will have to put the salt water on the ear for 5 minutes and after that you should face the ear downwards and allow the water to drain out in the procedure of salt. Follow the specific instructions in each kit to ensure ear safety. To remove the foreign bodies (except hygroscopic substances) 3. An ear irrigation is not a separately billable item, it is inclusive to the E&M, if performed at a well visit it is part of the wellness visit unless you have sufficient documentation to support a billable level for a patient complaint. The various sources of water for irrigation are wells, ponds, lakes, canals, tube-wells and even dams. Caloric testing utilizes the vestibulo-ocular reflex (VOR) to identify a unilateral peripheral deficit as a cause of the patient's symptoms. Cerumen, commonly known as ear wax, is a hydrophobic protective covering in the ear canal. The balance of using microsuction vs irrigation is down to how soft the wax is in your ear. A steady, gentle stream is used; pressure should be sufficient to reach the desired area, but not enough to force the fluid beyond the area to be irrigated. Evidence exists that such perforations are less likely to heal spontaneously. 2 out of 5 stars 2,473the ear canal. Mit Flexionstabellen der verschiedenen Fälle und Zeiten Aussprache und relevante Diskussionen Kostenloser Vokabeltrainer . Ask the patient to hold the receiver under the same ear. Susan Rhoads agrees. b. The superficial temporal artery and posterior auricular artery provide the blood supply to the ear. See moreEar irrigation is a routine procedure used to remove excess earwax, or cerumen, and foreign materials from the ear. This method was developed by Robert Bárány, who won a Nobel prize in 1914 for this discovery. Sc(N) ASSOCIATE PROFESSOR IN NURSING MEDICAL SURGICAL NURSING ; 2. Ear canal irrigation is contraindicated if there is a known or suspected tympanic membrane perforation (including a patent myringotomy tube), monomeric or dimeric tympanic membrane (a thin, weak. [1] Major components of earwax include cerumen, produced by a type of modified sweat gland, and sebum, an oily substance. You may report 69210 Removal impacted cerumen requiring instrumentation, unilateral if instrumentation is used to remove impacted cerumen. Some people experience complications from earwax blockage, such as a fever, ear. Symptoms of a chronic ear infection may be less severe than symptoms of an acute infection. g. 1. PURPOSE: To remove the ear wax To remove the foreign bodies To cleanse the ear in case of purulent discharges. Eye irrigation Manikandan T. Ear irrigation is one of a nurse’s. YYNPZQE Upgraded Electric Ear Wax Removal Tool Professional Water Powered Earwax Cleaning Kit Rechargeable Ear Irrigation Washer Ear Cleaner Irrigation System with 4 Pressure Levels for Adults Kids. It is used to treat patients who complain of foreign body or cerumen (ear wax) impaction. Irrigation activation systems can increase the effectiveness of the irrigations . Perform a patient care handwash and gather the equipment and solutions required for the ear irrigation. The irrigation solution is carefully warmed to body temperature for comfort. 48-51 Immunocompromised AIDS patients have also been reported to be at risk of necrotizing otitis externa. Tinnitus affects 15% of Americans, which could include ringing, buzzing, hissing, whistling. Ear Flushing . Definition. Kevin Daus answered. Feeling of fullness in the ear. earache. Common removal methods include use of forceps, water irrigation, and suction catheter. g. EAR IRRIGATION. PURPOSE To cleanse the canal of discharge, to soften and remove impacted cerumen, or to dislodge a foreign object. ; 3. Different types of bulbs and syringes are used to flush out your ear canal with these solutions. You are about to preform an ear irrigation on an adult. irrigation. This is the part of the brain that controls speech, hearing, memory, and some emotion. Ear irrigation is the process of flushing the external ear canal with sterile water or sterile saline. 3.