This paper describes an open label, prospective study undertaken by the authors to demonstrate the safety and efficacy of a novel topical wax solvent.

This new product has a dual action using a bicarbonate system to disrupt the esters and fatty acid lipid components in wax and a glycolic acid system to chelate the calcium ions and disrupt the cadherins resulting in the keratin sheets breaking up.

The authors report that moderately impacted wax was effectively cleared in a majority of their study cases with a single application of this novel agent followed by irrigation. A second application of the novel agent was required in a few cases to clear the cerumen. The authors conclude that compared to currently available wax dissolving agents, this novel agent requires very few applications and is more effective because of its dual actions.

Evaluation of the safety and efficacy of a novel product for the removal of impacted human cerumen.
Fullington D, Song J, Gilles A, et al.
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Gauri Mankekar

Department of Otolaryngology-Head Neck Surgery, Louisiana State University Shreveport, Louisiana, USA.

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