The Most Common Question I Am Asked as an Audiologist: “How Do I Clean My Ears?”

As an audiologist, one of the most frequent questions I receive from patients is, “How do I clean my ears?” It’s understandable—ear health is often surrounded by a lot of myths and misconceptions. But the truth is, you actually don’t need to clean your ears the way you might think you do. In fact, your ears are quite capable of taking care of themselves!

The Role of Earwax

First, let’s talk about earwax, or cerumen, which is produced by glands in the ear canal. This natural substance serves several important functions. It helps to:

  1. Protect the Ear Canal: Earwax traps dust, debris, and even small insects, preventing them from reaching the sensitive eardrum.

  2. Moisturize the Skin: It helps to prevent dryness and irritation in the ear canal.

  3. Provide Antimicrobial Properties: Earwax has natural antibacterial and antifungal properties that help protect against infections.

How Earwax Works Its Way Out

One of the fascinating aspects of earwax is its self-cleaning mechanism. The ear canal is lined with tiny hair-like structures called cilia that work continuously to move earwax and any trapped particles out of the ear. This process is facilitated by movements we make—like talking, chewing, or even just the natural motion of our jaws.

As new earwax is produced, older earwax is gradually pushed out of the ear canal, where it typically dries up and falls away. This means that, in most cases, your ears are doing a fantastic job of maintaining themselves without any extra help.

When Cleaning Might Be Necessary

While it's true that most people don’t need to clean their ears, there are some exceptions. If you experience symptoms such as:

  • Hearing loss

  • Ear pain

  • A feeling of fullness in the ear

  • Persistent itching

  • Unusual discharge

These could indicate an excess buildup of earwax or an underlying issue, and you should consult a healthcare professional. In such cases, it’s best to seek help from an audiologist or an ears nose and throat (ENT) specialist rather than attempting to remove earwax yourself.

Safe Practices for Ear Health

If you feel the need to clean your ears, here are some safe practices to consider:

  • Avoid Q-tips: Inserting cotton swabs into your ears can push wax further in and even cause injury to the ear canal or eardrum.

  • Gentle Cleaning: You can gently clean the outer ear with a damp cloth, but avoid inserting anything into the ear canal.

  • Consult Professionals: If you do have excessive earwax buildup, professionals can safely remove it using specialized tools.

Conclusion

In summary, the best advice I can offer is simple: your ears are designed to clean themselves, so let them do their job! Unless you're experiencing discomfort or other symptoms, there’s no need for aggressive cleaning. If you have any concerns about your ear health or earwax buildup, don’t hesitate to reach out to your audiologist for guidance. Keeping your ears healthy is just one part of maintaining your overall well-being!

Curtis Wetmore

Curtis is the founder and director of Tidal Hearing & Balance, a private vestibular audiology and hearing aid clinic located in Saint John, NB. He also works part time as a clinical audiologist with Horizon Health Network at the Sussex Health Centre. He holds adjunct scholar status with Dalhousie University where he teaches the vestibular course to second year audiology students. He currently serves as a member of the executive committee for the CAA National Vestibular Special Interest Group and recently obtained a certification of competency in vestibular rehab in partnership with Texas State University and the University of Wisconsin. He has contributed to articles in publications including ENT & Audiology News and the Canadian Journal of Neurological Sciences, and has been involved in research studies investigating the prevalence of vestibular and cognitive impairments in community fall prevention programs.

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