6 Things You Need to Know About Earwax Removal

Introduction

• Earwax, or cerumen, is the ear's natural protectant.
• It can affect hearing, cause infections, and be uncomfortable.
• Misconceptions about earwax often lead to unnecessary cleaning.

1. Importance of Earwax

• Functions: Moisturizer, lubricant, and water repellant.
• Process: Jaw movements help earwax move to the ear's outer opening, collecting harmful particles.

2. Cleaning Necessity

• Most people do not need to clean their ears unless there's a blockage.
• Natural Removal: Earwax usually falls out or washes away with regular hygiene, like hair washing.
• Routine Cleaning: A damp washcloth is usually sufficient for cleaning the ear's exterior.

3. Impacted Earwax

• Prevalence: Affects about 5% of adults.
• Causes: Excess production, slow movement, use of earbuds, earplugs, or hearing aids.
• Symptoms: Ear aching, ringing, impaired hearing, odor, dizziness, coughing.

4. Risks of Cotton Swabs

• Cotton swabs can:
  • Disrupt protective ear hairs.
  • Push wax deeper, causing impaction.
  • Damage ear canal skin, leading to infection.

5. Professional Removal

• Common procedure by PCPs in the US.
• Methods: Softening and removal using instruments like wax spoons, suction devices, or ear forceps.

6. Safe Home Removal

• For frequent build-up: Regular removal may be needed.
• Methods:
  • Softening Drops: Containing hydrogen peroxide. Not advised for those with recurrent infections, eardrum holes, or ear surgery history.
  • Ear Irrigation: Gentle rinsing with water or saline solution, preferably after using softening drops.

Conclusion

• If experiencing pain or discomfort, contact your primary care physician.
• Avoid self-removal methods that could cause harm and consult health professionals for advice.

Related Resources:

• Articles on ear, nose, and throat health.
• Primary care services at UCLA Health.

Note: Always consult your healthcare provider before attempting any earwax removal techniques.