Earwax (cerumen) is a yellowish waxy substance produced by glands in the skin of the outer ear canal. Earwax protects the ear from bacteria, water, and foreign particles. Usually, excess wax is removed from the ear canal naturally when a small amount of wax accumulates and then dries up and falls out of the ear canal, carrying with it unwanted dust and other particles. It also assists in the cleaning and lubrication of the ear canal. The wax coats the skin of the ear canal where it acts as a temporary water repellent. The absence of ear wax can lead to dry, itchy ears, pain, and infections.
A blockage is usually caused by an overproduction of earwax or a convoluted shape of the ear canal. Surprisingly, the most common cause of a blockage is improper at-home ear wax removal attempts. Often, instead of cleaning out the earwax, these attempts push it deeper inside the ear canal.
You should never place cotton swabs or any other solid objects inside your ears for the purpose of removing ear wax. Severe ear or hearing damage can result. Earphones and even hearing aid usage can also cause wax buildup, as these devices can prevent earwax from naturally coming out of the ear canal.
Earwax buildup and blockage can also be caused by a narrowing of the ear canal resulting from infection or trauma. In older individuals, cerumen (ear wax) may not flow out of the ear canal easily requiring removal by a specialist.
In order to diagnose a buildup of earwax, your doctor will need to look in your ear with a special magnifying instrument called an otoscope. Once diagnosed, your doctor can use several methods to remove the wax buildup: with a small, curved instrument called a curet, using vacuum suction, or by flushing out the wax with warm water. Chronic ear wax build-up often requires regular cleanings and the use of ear drops.