That sticky, yellowish goo that sometimes comes out of your ears can be a bit gross, but it’s actually a vital part of your body’s natural defences.
Without it, you’d be in trouble. So what is the purpose of earwax, and why do our ears get blocked?
What happens if you need earwax removal is explained in more details here.
Read on to find out everything you need to know about earwax and how to tell when you should see a professional about it.
What Is Earwax Made Out Of?
Earwax, or cerumen, is still a widely misunderstood substance. Our bodies excrete a lot of unpleasant stuff, but earwax, though it may fit the bill, actually has many benefits to your ears’ overall health.
But what is earwax made out of? And how is earwax formed?
Primarily, it consists of sweat, oil, dead skin cells, and dirt. These ingredients come together and form a layer of waxy residue around the ear canal.
It can be dark brown, yellow, even white and flaky. Wet earwax is more commonly found in Caucasians and Africans. Native Americans, Pacific Islanders, and Asians tend to have more dry earwax.
The consistency of earwax can also depend on age. When you were a child, your earwax would’ve been soft and light coloured. As we get older, it can become harder, darker, and more brittle.
Some people produce more than others, and many factors can increase production. A lot of hair in the ear canal, wearing hearing aids, excess stress, ear infections, and skin conditions are a few examples of what can affect cerumen production.
What Is The Purpose of Earwax?
You have no doubt heard of the adverse effects of excess earwax. However, unless you have a blocked ear or impacted earwax, an average amount is beneficial to your ear health.
Earwax forms a protective layer around your ear canal. Since it is sticky, it acts as a barrier and traps foreign objects, like dust and grit, from reaching deeper into your ear. Earwax adds a level of protection to your eardrum.
Your eardrum also benefits from the protection from bacteria. Cerumen prevents microscopic attackers from reaching the inner ear.
The smell of earwax usually repels insects. However, small bugs undeterred by the smell can still get into the canal. Earwax should trap bugs before they get too deep and do any damage to your eardrum, for example.
It also helps to keep the skin of your ear canal clean and in good shape. The layer of wax keeps the skin moisturised and helps protect it from drying out and becoming itchy and flaky.
Earwax naturally migrates out of your ear canal and takes debris with it. Think of it like a natural conveyer belt carrying a continual load of earwax, dead skin cells and other dust or debris.
You can have too much earwax, especially if it has anything blocking its migration out of your ears, such as hair or hearing aids. Excess earwax blocking ear canals can cause problems with hearing, ear pain, and ear infections.
Why do Ears Get Blocked with Wax?
Many factors, both internal and external, contribute to blockages.
If your home environment or your work environment is dirty or if they have lots of debris in the air, like dust, it can cause your ears to produce more than normal amounts of cerumen.
The weather is another factor that can cause excess earwax production. Cold weather can make you produce extra earwax as a defensive barrier against the low temperature.
Sustained periods in cold temperatures can also cause earwax to harden. This can be painful and form blockages in the ear canal.
Another way your body can react to cold weather, particularly sustained exposure to cold wind and water, is exostosis or surfer’s ear. This is a defensive reaction by the body to create a barrier against cold air and moisture.
Exostosis is a benign growth of new bone, in this case on the temporal bone in the skull, that can squeeze the ear canal closed and trap unwanted debris and water. This can cause pain, lead to infections, and make it easier for blockages to occur.
The Shape of Your Ear Canal
The shape of your ear canal can also make it susceptible to blockages. Narrow or misshapen ear canals, caused by infections, excess hair growth, or naturally restricted, are often contributing factors. Narrow canals make it possible for less cerumen to form a blockage.
Excess hair in your ear canal can make it difficult for earwax to escape or migrate out of your ears.
Hearing aids often partially or completely block a wearer’s ear canal, making it harder for earwax to migrate out of your ears.
Changing the hearing aid wax filters every month, replacing domes every two to three months, and replacing hearing aid tubing every four to six months helps minimise earwax blockage and damage to sensitive hearing aid components.
Check out our guide on hearing aid cleaning and care for more information.
The Risks of Earwax Buildup
If left untreated, excess earwax production can lead to other, more serious problems.
Impacted earwax is one such problem, which can be worsened by additional factors, such as frequent foreign objects put into the ear canal. Cotton swabs, earbuds, and hearing aids can all cause impacted earwax.
It can also be caused by skin conditions, infections, or any of the previously mentioned causes of blockages.
Overproduction of earwax can form a kind of dam in your ear canal that lets water in but stops it from running out.
Trapped water can make the skin of your ear canal soft and absorbent. The lack of protection from moisture makes your ear canal skin vulnerable to bacteria, which can cause infection or irritation.
Many of the conditions associated with wax buildup, as well as causing pain and discomfort, can also have adverse effects on your hearing.
When You Should Get Earwax Removed?
Everyone’s earwax production is different. Some people produce lots of wax and have some overproduction issues, whereas some produce no excess.
Circumstance and environment also dictate earwax production and how easily it migrates out of your ears.
Whether to get your earwax removed regularly or only when you feel it’s required can be difficult to determine. A discussion with a qualified health practitioner is always a good idea, as they will help you establish how often earwax removal may be required.
Methods of Earwax Removal
There are 2 prominent methods of earwax removal. Microsuction and syringing.
Microsuction is the process of inserting a thin tube into the ear canal using a microscope and employing suction to remove earwax and debris.
Syringing uses water pressure to wash out the ear canal. This method is considered to be less effective than microsuction. There are more risks to the patient including eardrum rupture and the experience is generally messy and uncomfortable.
There are also some even less effective methods such as ear candling.
Although earwax can sometimes cause problems with your ears, it exists to help maintain healthy ears and protects them from damage and infection.
Prioritising your ear health with regular checkups with a medical professional is a surefire way to preserve your ear health and avoid any problems that could lead to lasting effects.
If you’ve been experiencing hearing loss and having the earwax removed did not improve things, then a hearing check with our audiologist is recommended.
Hopefully, this article has cleared up some questions you may have had, like earwax’s purpose and how important it is to the health of your ears.
If you have experienced any of these issues or want to get your ears checked, book an appointment today.