Ear wax management in adults
Earwax, also known as cerumin, is a natural substance produced by the ceruminous glands in the ear canal. Its main function is to protect the ear from dust, dirt and other foreign objects, as well as to prevent dryness and irritation of the skin in the ear canal. While earwax is a normal and healthy substance, it can sometimes build up and become impacted, leading to symptoms such as hearing loss, earache, tinnitus, and vertigo. In such cases, earwax removal is necessary.
One of the most effective methods of earwax removal is microsuction. Microsuction is a quick, painless and safe procedure that involves the use of a specialised suction device to gently remove impacted earwax. Unlike other methods of earwax removal, such as ear irrigation or ear drops, microsuction does not involve the use of water or any other substances that could potentially cause further damage to the ear. Ear wax removal with microsuction is generally performed by specialist Ear nurses, Audiologists and ENT specialist.
Earwax impaction can occur in people of all ages, but some groups are more prone to the condition than others. People who are at higher risk of earwax impaction include:
Older adults: As we age, the production of cerumin increases, making older adults more prone to earwax impaction.
People with hearing aids: Wearing hearing aids can increase the risk of earwax impaction, as the devices can push wax further into the ear canal.
People with narrow or curved ear canals: People with narrow or curved ear canals are more prone to earwax impaction, as the wax has nowhere to go and can become trapped.
People who use cotton swabs or cotton buds: Using cotton swabs to clean the ear can actually push wax further into the ear canal, leading to impaction.
Earwax impaction is typically diagnosed during an ear examination. During the examination, your Ear Nurse, Audiologist or ENT specialist will examine the inside of your ear with an otoscope or oto-microscope, a special tool that allows visualisation of the ear canal and tympanic membrane (eardrum). If impacted earwax is suspected, they may recommend microsuction as the best course of treatment.
Microsuction is a quick, painless and safe procedure that is typically performed in the clinic. During the procedure, they will use a specialised suction device to gently remove the impacted earwax. In most cases, the entire procedure takes only a few minutes and the individual is able to return to their normal activities immediately following the procedure.
Following microsuction, there are no restrictions on normal activities. You may experience the resolution of symptoms such as hearing loss, earache, tinnitus and vertigo. It is important to avoid using cotton swabs or cotton buds or any other objects in your ear for at least one week following the procedure, as this could cause further damage to the ear canal.
Earwax impaction is a common condition that can be effectively treated with microsuction. If you are experiencing symptoms such as hearing loss, earache, tinnitus or vertigo, it is important to seek the advice of a qualified and experienced Ear Nurse, Audiologist or ENT specialist who can diagnose the condition and recommend the best course of treatment for you.
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