You've likely cleaned your ears with cotton swabs before. Here's why ENT doctors recommend against it.


June 28, 2024 Tags:

When it comes to ear care, the old adage "Don’t put anything smaller than your elbow in your ear" holds true, according to experts like Dr. Bradley Kesser, an ear, nose, and throat (ENT) specialist at UVA Health in Virginia.

Using cotton swabs to clean your ears is a common practice, but it can actually do more harm than good. Dr. Minka Schofield, a clinical professor at the Ohio State University Wexner Medical Center, explains that while many people use swabs to clear wax, they often push it deeper into the ear canal, worsening any blockage. This can lead to complications like infections and even damage to the ear drum.

Moreover, the delicate skin inside the ear canal can be easily injured by swabs, causing micro-cuts that may invite bacterial infections. Schofield warns against over-cleaning, which can strip the ear of its natural moisture and increase the risk of outer ear infections.

In severe cases, swabs can puncture the ear drum or leave behind cotton tips, impairing hearing and potentially causing infections. Schofield emphasizes the importance of treating the ear gently to avoid such injuries.

Interestingly, ear wax itself plays a crucial role in ear health. Contrary to popular belief, it isn't dirty; in fact, it serves as a protective barrier against bacteria. The ear has a self-cleaning mechanism where the skin inside the canal naturally moves debris and wax outwards, maintaining cleanliness without external intervention.

For those who feel the need to clean their ears, Dr. Kesser suggests using a pinkie finger and a cold washcloth to gently clean the outer ear canal. However, he advises against attempting to remove wax from deeper inside the ear without professional guidance. Home remedies like ear irrigation kits and ear candling are not only ineffective but can also be dangerous, potentially causing burns or further ear damage.

Seeking professional help from an ENT is recommended for safe and effective ear cleaning, especially if you experience symptoms like persistent itching, sudden hearing loss, or ear fullness. Regular users of hearing aids or in-ear headphones should also consider periodic check-ups to prevent wax buildup.

In conclusion, while it may be tempting to reach for a cotton swab to clean your ears, it's best to follow the advice of experts like Dr. Kesser and Dr. Schofield. Protect your ear health by avoiding unnecessary interventions and seeking professional care when needed.

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