Comparing Earwax Removal Methods
Earwax is a natural and healthy part of the ear, but if it seems like there is too much wax, people will often question why they have it, whether earwax removal is needed and which method to choose.
Here we explain common earwax removal methods, including natural earwax clearance, ear drops, water irrigation, manual removal, and microsuction. Understanding how these approaches work can help you make informed decisions about your ear health.
What is earwax? Does it always require removal?
Earwax, also known as cerumen, is naturally produced in the ear canal. It helps protect the deeper ear by trapping dust and flying objects, it helps prevent ear infections and helps keep our ears comfortable.
For the majority of people, wax gradually moves out of the ear naturally and does not require removal. However, in some individuals, earwax can build-up to levels where the following symptoms may occur:
- itching
- discomfort
- a blocked sensation in the ear
- difficulty hearing clearly
- Tinnitus or abnormal sounds such as ringing or ticking
If you have concerns about earwax or changes in hearing, an ear assessment can help identify possible causes and discuss available options.
Common earwax removal methods explained
There are several approaches to managing earwax. The method considered may depend on individual circumstances, ear health history, symptoms, and the amount and location of earwax present.
Natural earwax clearance
The ear has a natural process that gradually moves earwax towards the outer ear, where it can be cleaned away as part of normal hygiene.
Many people do not require earwax removal. If earwax is not causing symptoms or concerns, monitoring may be appropriate.
To support ear health, avoid inserting objects such as cotton buds into the ear canal. These items may push earwax further into the ear or irritate the skin inside the ear canal.
Ear drops and wax-softening products
Ear drops are commonly used to soften earwax and may assist with the natural removal process.
Different products contain different ingredients, and suitability may depend on individual factors, including ear health history and any existing ear concerns.
Follow product instructions carefully and seek advice if you are unsure whether a product is appropriate for your circumstances.
The Ear Nurses use olive oil to soften wax . Ear drop liquid is not suitable for people with certain ear conditions, such as a perforated eardrum or grommets. Seek advice from a qualified professional if unsure.
Ear candling
This alternative practice where a hollow cone-shaped candle is placed into the ear canal and lit, with claims that the heat creates suction to draw out earwax and debris.
Ear candling is not recommended as a safe or effective method of earwax removal with no scientific evidence to support its effectiveness. Ear candling can cause burns to the ear, face and hair, and injury to the ear canal including eardrum perforation.
Ear irrigation
This method, ear irrigation involves the use of water to remove earwax from the ear canal. This method, although it has been around for thousands of years, does carry potential adverse effects and complications.
Ear irrigation (or water syringing) is also contraindicated in those individuals with a history of eardrum perforation, grommets, other previous ear surgery and ear infections.
Manual earwax removal
Manual earwax removal involves using suitable instruments to assist with removing earwax from the ear canal.
This approach is performed by trained health professionals using appropriate techniques and equipment. The method used may depend on the amount, location, and characteristics of the earwax. Ear cleaning should only be performed using appropriate techniques by trained professionals.
If you have concerns about earwax, seek advice from a qualified health professional.
Microsuction earwax removal
Microsuction is the gold standard for wax removal.
This earwax management method uses a small suction device while the ear canal is viewed through magnification.
During microsuction, a health professional may use suction equipment and fine instruments to assist with removing earwax and debris from the ear canal.
Microsuction is suitable for all ages if it is performed by properly trained professionals.
Why you should avoid inserting objects into your ears
Many people insert objects into their ears such as cotton buds, hair pins, keys, the ends of spectacles and of course fingers! The ear canal, however, contains delicate skin and structures that can be damaged.
These items can also push earwax deeper into the ear canal, causing the hearing to block totally, and can cause holes in the eardrum.
To best care for your ears:
- Clean only the outer part of the ear with a damp soft cloth
- Avoid putting any object inside the ear canal
- Seek advice from your ear nurse or GP if you have ongoing ear concerns
When to consider an ear health assessment
An ear assessment may be helpful if you experience:
- changes in hearing
- a blocked ear sensation
- concerns about earwax build-up
- ongoing ear discomfort
- itching
- dizziness
- tinnitus or abnormal sounds in the ears
An assessment can help determine whether earwax is the cause and what management options should be considered.
Earwax Removal at The Ear Nurses at Crystal Clear Ears
The procedure
Your ear health appointment will involve an assessment of your ears, discussion of your concerns, and consideration of suitable earwax management options based on your individual circumstances.
The Ear Nurses at Crystal Clear Ears provide ear health assessments and earwax management services in Melbourne and are experts in ear care. At Crystal Clear Ears, we’ve focused exclusively on ear wax removal, microsuction for ear wax removal, and the management of blocked ears since 2008. Our approach focuses on assessment and discussing suitable ear health management options.
Your appointment may include:
Discussion of your ear health history
Your appointment begins with a discussion about your ear-related concerns, symptoms, previous ear health information, and any factors that may assist with your assessment.
Examination of the ear canal
Using magnification equipment, the Ear Nurse will examine the ear canal to assess the condition of the ear and identify earwax or other concerns.
Earwax and debris management
Where appropriate, microsuction and fine instruments may be used to assist with removing earwax and debris from the ear canal.
The approach selected will depend on your individual circumstances, including the amount and location of earwax present.
Assessment of the eardrum
Following earwax management, the eardrum will be assessed to identify any concerns that may require further discussion or referral.
Ear health advice
You will receive general information about maintaining ear health, including advice about ear care and factors that may contribute to future earwax concerns.
The suitability of microsuction varies between individuals. Your Ear Nurse will discuss available options based on your ear health assessment.
Contact the Ear Nurses to book your ear assessment.
Learn more about ear health from Healthdirect Australia: https://www.healthdirect.gov.au/ears