1 病历摘要患者,男,19岁。2年前右耳出现阻塞感,听力逐渐下降,曾在当地医院就诊,诊断为耵聍栓塞,多次取耵聍,但均未能取出。近来听力下降明显加重,时有耳痛,故来我科就诊。全身检查一般状况良好,心肺腹均未见异常。耳镜检查见右外耳道被耵聍样物质堵塞,行耵聍取出。在取耵聍的过程中,发现表面耵聍取出后,耳道内仍有一硬块,与外耳道后壁相 1 patient summary of patients, male, 19 years old. 2 years ago, a sense of obstruction occurred in the right ear, hearing decreased gradually, had a local hospital, diagnosed as embolism embolism, many times take 耵 聍, but failed to remove. Recently significantly decreased hearing loss, when there is an earache, it came to our department. General examination of the general condition is good, no abnormal heart and lung abdomen. Otoscope otoscopy see the right external auditory meatal material was blocked, line 耵 聍 removed. In the process of taking 耵,, found that the surface 耵 聍 removed, there is still a lump in the ear canal, and the posterior wall of the external auditory meatus phase