Cerumen removal--current challenges.

Each week in the United States, approximately 150,000 cerumen removals take place. Otologic complications include pain, perforated tympanum, dizziness, bleeding and infection. The prevention and management of such complications are discussed below. Accepted methods of removal should be used and all perforations and other forms of trauma, when they occur, must be evaluated for middle and inner ear pathology. Handicapped patients and those under custodial care represent a group that is underserved at this time. Possible solutions are discussed.