قبل غسيل الأذن لإزالة الشمع، أي معلومة تمنع الإجراء؟

Before ear irrigation to remove wax, which finding contraindicates the procedure?

1. A perforated eardrum
2. Age over 60
3. Mild ear itching
4. Heavy wax causing hearing loss

Answer: A) A perforated eardrum. Irrigation is contraindicated with a perforated drum, previous ear surgery or acute infection, because water can cause infection and vertigo. Body-temperature water is directed at the upper back wall.