Original Research

Excess cerumen: Failure rate of Black and Indian preschool children from Durban on the Middle Ear Screening Protocol (MESP)

Daksha Bhoola, René Hugo
South African Journal of Communication Disorders | Vol 44, No 1 | a227 | DOI: https://doi.org/10.4102/sajcd.v44i1.227 | © 2019 Daksha Bhoola, René Hugo | This work is licensed under CC Attribution 4.0
Submitted: 12 October 2016 | Published: 31 December 1997

About the author(s)

Daksha Bhoola, Department of Communication Pathology, University of Pretoria, South Africa
René Hugo, Department of Communication Pathology, University of Pretoria, South Africa

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The aim of the study was to examine the failure rate of Black and Indian subjects within the excessive cerumen category of the Middle Ear Screening Protocol (MESP). The subjects included four to five year old Black and Indian children attending pre-schools in the Durban Central Region. Thus, a sample of 728 subjects (average age = 4.6 years), 312 Black (135 male and 180 female) and 413 Indian (223 male and 190 female) was screened using referral criteria based on a Middle Ear Screening Protocol  (MESP). The results of the study indicated that a significant percentage of  Black (38,4%) and Indian (49,9%)  subjects failed, due to excessive cerumen. These results are discussed with reference to the literature. A cerumen management program has been outlined and recommended to be implemented in preschools in South Africa.


Black and Indian children; 4-5 years; cerumen management program; excessive cerumen; Middle Ear Screening Protocol


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