Earwax Removal In Singapore

Impacted earwax, also known as cerumen impaction, is a condition where earwax accumulates in the ear canal to an extent that it causes symptoms or blocks the passage of sound into the ear. Earwax, or cerumen, is a natural substance produced by glands in the outer part of the ear canal. It plays a crucial role in the ear’s self-cleaning process, protecting the ear by trapping dust, microorganisms, and other foreign particles. However, problems arise when there is an excessive buildup, leading to impaction. This article delves into the causes, symptoms, diagnosis, treatment, and prevention of impacted earwax, shedding light on this common yet often misunderstood condition.

Understanding Earwax and Its Functions

Earwax is composed of keratin (from shed skin cells), fatty acids, alcohols, squalene, and cholesterol. The composition and consistency of earwax can vary based on ethnicity, diet, age, and other factors. There are two primary types of earwax: wet and dry. The type of earwax an individual has is determined genetically.

The primary functions of earwax include lubricating the ear canal, providing protection against bacteria, fungi, insects, and water, and aiding in the cleaning and removal of dead skin cells from the ear canal.

Causes of Impacted Earwax

Impacted earwax can result from several factors, including:

• Excessive Production: Some individuals naturally produce more earwax, increasing the risk of impaction.
• Narrow or Irregular Ear Canals: Anatomical variations can hinder the natural exit of earwax.
• Frequent Use of Earplugs or Hearing Aids: These devices can push earwax deeper into the ear canal.
• Age: The consistency of earwax changes with age, becoming harder and more likely to form a blockage.
• Improper Ear Cleaning: Using cotton swabs or other objects to clean the ear can push wax deeper into the canal, leading to impaction.

Symptoms of Impacted Earwax

The accumulation of earwax can lead to various symptoms, including:

• Hearing Loss: Partial or full hearing loss in the affected ear is common.
• Earache: Pain or discomfort in the ear may occur.
• Tinnitus: Some people may experience ringing or buzzing sounds in the ear.
• Fullness or Pressure: A sensation of fullness or pressure in the ear is often reported.
• Dizziness: In some cases, impacted earwax can lead to vertigo or dizziness.
• Cough: The stimulation of the vagus nerve by impacted wax can sometimes trigger a cough.

Diagnosis

The diagnosis of impacted earwax is typically straightforward. A healthcare provider will review the patient’s symptoms and medical history and conduct a physical examination of the ear using an otoscope, a device that allows for a clear view of the ear canal and eardrum.

In some cases, if the object is not visible or if there is concern about damage to the ear structures, additional tests such as a tympanometry (to assess the functioning of the middle ear) or an audiogram (to test hearing) might be conducted.