Cerumen Impaction

Causes

Ear wax impaction may be caused by:

• The ear not naturally clearing itself—the earwax dries and hardens
• The ear producing too much earwax
• Putting objects into the ears—this pushes earwax deeper into the ear canal

Risk Factors

Earwax impaction is more common in males, older adults, and children.

Other things that raise the risk are:

• Intellectual disability
• Use of hearing aids, ear plugs, or headphones placed in the ear
• A small ear canal
• Skin conditions such as eczema
• Use of cotton-tipped swabs to remove earwax

Symptoms

Symptoms of earwax impaction may be:

• Hearing loss
• Pain, itching, or fullness in the ear
• Ringing in the ear—tinnitus
• Ear discharge or odor
• Hearing aids making noise or not working properly

Diagnosis

The doctor will ask about symptoms and past health. A physical exam may be done. The doctor will do an ear exam to diagnose the condition.

Treatment

The goal of treatment is to remove earwax from the ear canal. This can be done with:

• A curette—an instrument shaped like a scoop
• Suction—vaccuming the loosened earwax
• Flushing—the impacted earwax is flushed out
• Ear solutions to soften earwax and ease removal

Prevention

The risk may be lowered by:

• Not putting anything in the ears—including cotton tipped swabs
• Using medicines to prevent the buildup of earwax
• Seeing the doctor to remove earwax buildup, as advised