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"The bottom line is that some people have a perception that ear wax is dirty," says Erich Voigt, MD. "The truth is that it's actually a protective coating for the ear canal."
Cerumenolytics are used to soften and break up ear wax. Using a cerumenolytic can reduce the need for flushing the ear with irrigants for wax removal. Additionally, cerumenolytics can also facilitate the manual removal of ear wax. [1] Overall, all cerumenolytics are considered to be equivalent in efficacy. [2]
“A lot of people associate ear wax with being dirty or unclean, so there’s this kind of aggressive need to keep the ears cleaned out in some way, but we want a certain degree of wax in the ear ...
The excess ear wax may also harden causing an impaction and discomfort. Healthcare providers recommend against reaching into the ears to clean it because the ear wax may be pushed even deeper into the ear canal. [6] Drops to safely break up earwax are available over-the-counter and are labeled 'otic' drops. [12]
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The treatment of excess ear wax was described by Aulus Cornelius Celsus in De Medicina in the 1st century: [47] When a man is becoming dull of hearing, which happens most often after prolonged headaches, in the first place, the ear itself should be inspected: for there will be found either a crust such as comes upon the surface of ulcerations ...