When should earwax be removed?
Earwax is produced by the ear as part of its natural process of cleaning and protection, and, in the majority of cases, it does not need to be removed. Removal of earwax may not necessarily relieve the symptoms (for example, hearing loss may be a sensorineural loss and not due to impacted wax.
Consider earwax removal if:
Earwax, also known as cerumen, is produced by the glands in the ear canal and serves an important function in protecting the ear from dust, debris, and infection. However, when earwax builds up excessively or becomes impacted, it can lead to various issues. Below are situations where earwax removal may be necessary:
1. Earwax Contributes to Hearing Loss or Other Symptoms: Excessive earwax buildup can block the ear canal, leading to a reduction in hearing ability. If earwax is causing a hearing loss or affecting sound transmission, it is important to remove the wax to restore normal hearing. Common symptoms associated with earwax buildup include:
- Partial or complete hearing loss
- Tinnitus (ringing in the ears)
- A feeling of fullness or pressure in the ear
- Pain or discomfort in the ear
- Dizziness or balance issues
In such cases, earwax removal may alleviate these symptoms and improve hearing.
2. The Eardrum is Covered by Wax and Needs to Be Viewed to Establish a Diagnosis: Sometimes, earwax can become so impacted that it covers the eardrum, preventing the healthcare provider from properly examining the ear. This can make it difficult to accurately diagnose underlying ear conditions, such as ear infections, perforated eardrums, or other ear-related health issues.
To obtain a clear view of the eardrum and assess the ear for any potential problems, earwax removal may be necessary. Once the ear canal is cleared, a healthcare provider can properly examine the eardrum to establish an accurate diagnosis.
3. An Impression Needs to Be Taken of the Ear Canal (For Hearing Aids): If you are using or preparing to use hearing aids, an impression of the ear canal is often needed to ensure a proper fit and function. For the impression to be accurate, the ear canal must be free of excess earwax. Wax buildup can interfere with the mold or impression-taking process and lead to discomfort or poor-fitting hearing aids. Therefore, earwax removal is an important step before taking a custom impression for hearing aids.
Should I use ear drops to soften the wax before I come?
- Please use ear drops 3–4 times daily for 3–5 days before your appointment.
- You can get the drop from your chemist, these include sodium bicarbonate 5% ear drops, and olive or almond oil drops. Instilling ear drops may cause transient hearing loss, discomfort, dizziness, and irritation of the skin.
- Do not use ear drops if you have a perforated tympanic membrane, active dermatitis, or active infection of the ear canal.
What is Microsuctioning?
This is the gold standard method of ear wax removal. Other methods like ear syringing or irrigation use water; however, micro suction uses gentle suction to remove ear wax. It is a safe, gentle and effective method of ear wax removal. In most cases, it provides instant relief and immediately restores full hearing. Our clinicians are trained in all methods of ear wax removal, micro-suction, ear irrigation (also known as ear syringing) and instrumentation. Sometimes due to the consistency of the wax, we may need to use ear irrigation or instrumentation. In rare cases, a follow-up visit may be required to remove particularly stubborn ear wax. It can be noisy at times, and if you are worried during the procedure, we will stop immediately.
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What are the risks and possible complications of earwax removal procedures?
While earwax removal is generally a safe and effective procedure, there are some risks and complications that can arise, especially if the procedure is not performed properly. It is important to be aware of these risks to ensure safe removal and to recognise any potential issues that may require medical attention.
1. Failure of Wax Removal: In some cases, earwax may not be completely removed, especially if it is deeply impacted or if improper techniques are used. This can lead to ongoing symptoms like hearing loss, discomfort, or fullness in the ear. Further treatment may be necessary to fully remove the wax.
2. Otitis Externa (Outer Ear Infection): Removing earwax, particularly with methods like irrigation or manual extraction, can sometimes introduce bacteria into the ear canal, leading to an outer ear infection or otitis externa. Symptoms may include pain, redness, swelling, and itching in the outer ear canal. Proper hygiene and technique during the procedure are essential to minimise the risk of infection.
3. Perforation of the Tympanic Membrane (Hole in Ear Drum): One of the most serious risks associated with earwax removal is perforation of the tympanic membrane (ear drum). If too much force is applied or if inappropriate tools are used, the ear drum can be punctured, leading to a hole. This may cause hearing loss, pain, and potential complications, such as infection.
4. Damage to the External Auditory Meatus: The external auditory meatus (the ear canal) is delicate and can be damaged during the earwax removal process, particularly if sharp instruments are used. Injury to the ear canal can cause pain, swelling, or bleeding, and may make the ear more vulnerable to infection.
5. Pain: Some individuals may experience pain during or after earwax removal. This could result from irritation or injury to the ear canal or tympanic membrane. If the pain persists or worsens, it is important to seek medical attention to ensure there is no significant damage or infection.
6. Vertigo: The ear is crucial to balance, and any manipulation in the ear canal can sometimes result in vertigo (dizziness or a spinning sensation). This is more likely to occur if the ear drum is disturbed or if fluid enters the middle ear during the procedure.
7. Otitis Media (Inner Ear Infection): If the earwax removal procedure causes a perforation of the ear drum, water or other fluids may enter the middle ear, leading to a middle ear infection (otitis media). Symptoms of this condition may include ear pain, fever, fluid drainage, and hearing loss. Immediate treatment is required to prevent further complications.
8. Exacerbation of Pre-existing Tinnitus: For individuals who already suffer from tinnitus (ringing in the ears), earwax removal can sometimes make the condition worse. The procedure may irritate the ear canal or tympanic membrane, exacerbating tinnitus symptoms or making them more noticeable.
9. Serious Injury to the Middle and Inner Ear (Rare): Though very rare, improper earwax removal techniques can result in serious injury to the middle or inner ear, which could potentially lead to permanent hearing loss or damage. This can occur if excessive force is used, or if unqualified individuals perform the procedure.
10. Bleeding (Usually Self-Limiting): In some cases, earwax removal can cause bleeding, usually as a result of trauma to the ear canal or tympanic membrane. Most bleeding is self-limiting and will stop on its own, but if it continues or is severe, medical attention may be necessary.
11. Nausea, Vomiting, and Vertigo Resulting from Temperature Variations in the Irrigating Fluid: When irrigating the ear with warm or cold water to remove earwax, the temperature difference can sometimes lead to nausea, vomiting, or vertigo. This occurs because the ear is connected to the balance mechanisms of the inner ear, and temperature changes can disturb this balance.
When to Seek Medical Attention
If you experience any of the following symptoms after an earwax removal procedure, you should consult a healthcare professional as they may indicate an infection or another complication:
- Fever
- Ear pain
- Significant itching of the ear
- Discharge from the ear (otorrhoea)
- Swelling of the external ear canal
These symptoms may indicate an infection or other issues that require prompt treatment.
Earwax removal is generally a safe procedure, but like any medical treatment, it carries potential risks and complications. It is important to use appropriate methods and seek professional help if needed to avoid damaging the ear or causing an infection. If you experience any unusual symptoms or complications following earwax removal, it is essential to consult with a healthcare provider to ensure proper care and avoid further issues.
How often should I have micro suction?
This is different in each person, some people are more prone to a build-up of wax and need more regular visits. Many people like to have their ears cleaned regularly, sometimes every 3, 6, 9 or 12 months.
Should I try to clean my ear canals myself?
NO. Do not remove earwax or clean their ears by inserting small objects, such as cotton buds, into the ear canal. This can damage the ear canal and eardrum. It causes the wax to become impacted by pushing it further into the canal. It may lead to a perforation of the tympanic membrane (hole in the eardrum). Ear candles have no benefit in the management of earwax removal and may result in serious injury.
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Common Q&A about Ear wax
Ear wax, or cerumen, is a natural substance produced by glands in the ear canal. It helps protect the ear by trapping dust, dirt, and other particles, preventing them from reaching the eardrum. It also has antibacterial properties and helps lubricate the skin inside the ear.
In most cases, ear wax removal is not necessary, as the ears are self-cleaning. Ear wax naturally migrates out of the ear canal over time. However, if there is excessive buildup causing symptoms like hearing loss, pain, or blockage, removal may be needed.
Common symptoms of ear wax buildup include hearing loss, earache, a feeling of fullness in the ear, dizziness, ringing in the ears (tinnitus), and sometimes itching or a bad odour.
It is not recommended to use cotton swabs to clean the inside of your ears, as they can push wax further into the ear canal, causing blockage or even damage to the eardrum. Cotton swabs are best used for cleaning the outer ear.
Safe methods to remove ear wax at home include using over-the-counter ear drops or a saline solution to soften the wax. Irrigation with warm water may also help. However, it’s best to consult a doctor if you have recurring issues or impacted wax.
If you suspect a blockage, you can try softening the wax with ear drops or warm mineral oil. If symptoms persist, it is best to consult a healthcare professional who may remove the wax using special tools or irrigation techniques.
Yes, excessive ear wax buildup can cause temporary hearing loss by blocking sound waves from reaching the eardrum. Once the wax is removed, hearing usually returns to normal.
No, ear candles are not a safe method for ear wax removal. They can cause burns, ear canal injuries, and even increase the risk of ear infections. Most healthcare providers do not recommend their use.
Ear wax production varies between individuals due to factors like genetics, age, and environment. Some people naturally produce more wax, and factors like wearing hearing aids or earplugs, or having narrow ear canals, can contribute to wax buildup.
You should see a doctor if you experience symptoms like significant hearing loss, ear pain, a blocked sensation, dizziness, or discharge from the ear. It’s also important to consult a doctor if home remedies don’t work or if you suspect impacted ear wax.