Ear Wax

Wax is produced by glands in the external auditory meatus and has protective antiseptic properties. Normally it is carried out of the ear by the epithelial migratory process. Sometimes more wax is produced or it is of a different consistency and may accumulate in the external auditory canal. More often, however, the use of the cotton bud to itch the ear is the culprit. This product is poorly designed for removal of wax as all it does is push the wax further in the canal. To make matters worse it also causes trauma to the delicate squamous epithelium of the canal which can lead to infection.

If wax accumulation does occur then softening agents should be applied. These soften the wax facilitating its normal migration out of the ear. A number of over the counter preparations are available. Sodium bicarbonate drops are the choice of most ENT surgeons.