The Relationship Between Cotton Bud Use and The Incidence of Cerumen Impaction Among Patients at The ENT Polyclinic of PKU Muhammadiyah Bantul Hospital
DOI:
https://doi.org/10.12928/admj.v6i1.12624Keywords:
Cerumen blockage, Cotton bud, Frequency and depthAbstract
Cotton buds are commonly used to clean ears, although improper use can
be harmful to ear health by causing cerumen impaction. Cerumen is a
natural substance that normally exits the ear canal on its own but can
accumulate due to cotton bud use, leading to hearing problems. This study
aims to examine the relationship between cotton bud use and the incidence
of cerumen impaction in patients at the ENT Polyclinic of PKU
Muhammadiyah Hospital, Bantul, considering the high prevalence of this
condition in Indonesia. This research used a cross-sectional design and
collected data through questionnaires from 65 patients at the ENT clinic.
The data were analyzed using SPSS 25 with chi-square and Fisher’s exact
tests. Results showed that 86.2% of patients used cotton buds up to 2/3 of
the inner ear canal. There was no significant relationship between the
depth of cotton bud use and the incidence of cerumen impaction (p =
0.483). However, there was a significant relationship between the
frequency of cotton bud use (> 1 time a week) and cerumen impaction in
both ears (p = 0.032). Patients who frequently used cotton buds had a
higher incidence of cerumen impaction compared to those who used them
rarely. In conclusion, there is a relationship between the frequency of
cotton bud use and the incidence of cerumen impaction.
References
Mustofa FL, Oktobiannobel J, Wibawa FS, Megawati S. Hubungan Antara Penggunaan Cotton Bud Dengan Gangguan Pendengaran Terhadap Pasien Serumen Obsturan Di RS Pertamina Bintang Amin Bandar Lampung. MAHESA : Malahayati Health Student Journal. 2021;1(3):222-229.
Murfat Z. Fakumi medical journal. Jurnal Mahasiswa Kedokteran. 2022;2(5):359-367.
Sevy JO, Hohman MH, Singh A, Fisiologi A. Penghapusan Impaksi Serumen Kegiatan Pendidikan Berkelanjutan Perkenalan Indikasi. Published online 2023.
Pradiptha IPY, Budisetia P, Mukti CA. Serumen Obsturan pada Siswa Sekolah Dasar di Tabanan, Bali. Medica Arteriana (Med-Art). 2021;3(1):9.
Larasati A, Qamariahi N, Rahmiati R, Syamsuddin A, Hayatie L. Hubungan Frekuensi Dan Jumlah Penggunaan Cotton Bud Untuk Toilet Telinga Terhadap Derajat Keluhan Nyeri. Homeostasis. 2023;6(1):135.
Sari, A. P., Gunadi, G. and Handiani, R. (2021) ‘Hubungan Serumen Obsturan dengan Kurang Pendengaran Tipe Konduktif pada Pelajar SD Negeri Rowosari 01 Semarang’, Medica Arteriana (Med-Art), 3(2), pp. 102– 107.
Money P, Naftali Z, Marliyawati D. Hubungan Antara Penggunaan Cotton Bud Dengan Serumen Obsturan. Diponegoro Medical Journal (Jurnal Kedokteran Diponegoro). 2018;7(2):892-905.
Mustofa FL, Yune T, Kasim M, Eryzkia E. Analisis Faktor Yang Mempengaruhi Pembentukan Serumen Obsturan. MAHESA : Malahayati Health Student Journal. 2021;1(1):63-74.
Melinda NM. Analisis Faktor Yang Mempengaruhi Pembentukan Serumen Obsturan Pada Pasien Rawat Jalan Di Poliklinik Tht Rsud Dr. Soeroto Ngawi Tahun 2016. Presented at: 2017.
Hakim GR, Ristyaning PRA, Himayani R. Serumen Prop sebagai Faktor Risiko Tuli Konduktif. Medula. 2023;13(4.1):182-185.
Istiqomah, N. A. N., Qamariah, N., Rahmiati, R., Syamsuddin, A., & Hayatie, L. (2023). Hubungan Penggunaan Cotton Bud Untuk Toilet Telinga Dengan Derajat Keluhan Gatal Berdasarkan Nilai VAS. Homeostasis, 6(2), 399-408.
Gabriel OT, Mohammed UA, Paul EA. Knowledge, Attitude and Awareness of Hazards Associated with Use of Cotton Bud in a Nigerian Community. International Journal of Otolaryngology and Head & Neck Surgery. 2015;04(03):248-253.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Nadila, Rizky Firmansyah, Rizka Ariani

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
License and Copyright Agreement
In submitting the manuscript to the journal, the authors certify that:
- They are authorized by their co-authors to enter into these arrangements.
- The work described has not been formally published before, except in the form of an abstract or as part of a published lecture, review, thesis, or overlay journal. Please also carefully read Ahmad Dahlan Medical Journal posting Your Article Policy.
- That it is not under consideration for publication elsewhere.
- That its publication has been approved by all the author(s) and by the responsible authorities - tacitly or explicitly - of the institutes where the work has been carried out.
- They secure the right to reproduce any material that has already been published or copyrighted elsewhere.
- They agree to the following license and copyright agreement.
Copyright
Authors who publish with Ahmad Dahlan Medical Journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.