Recurrent Wax Secretion From Ear With Pain Since Childhood. Any Permanent Solution For This?

Dear XXXXXXX

Hello I am Dr Ravinder Sharma ENT surgeon. On the basis of the information provided I would like tell you that your problem could be because of
1. Dry wax. The wax can be moist or dry. Moist wax usually poses no problem and extrudes out of the ear canal easily. The movement of jaw wjile chewing actually facilitates removal of wax by itself. Dry wax gets deposited and is difficult to remove
2. Narrow external auditory canal - If the ear canal is narrow, the removal of wax becomes a problem as the wax collects in the deeper part of ear canal and due to narrow canal it do not extrudes out by itself. These cases require a surgery to widen the ear canal -- meatoplasty. This is a minor surgery and can be done under local anaesthesia . It is done by post aural approach(incision behind the ear) and the narrow part of canal (bony part) is drilled to make more space in the ear canal
3. Oily skin - People with oily skin are more prone to have problem of wax in ear as there is excessive production of wax.

I feel that examination in your case by a competent ENT surgeon can resolve the issue. One of the above could be a reason and it would be appropriate to consult and Otolaryngologist(ENT surgeon).

This will help us in reaching to the cause of your problem. Once we get a cause it can be treated.

I hope this answers your concern. Do let me know if you need any more help.

With warm regards
Ravinder Sharma

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Dear XXXXXXX
Thanks for writing back.
The possible cause of collection in ear canal can be determined after clinical examination by an ENT surgeon.
If the canal is narrow, you will need a surgery to widen the ear canal
To avoid accumulation of wax, I would suggest the following:
a. Repeated gentle cleaning with ear buds in outer part of ear canal -- once to twice a week
b. If the wax is deposited and blocking the ear canal -- you will need wax softeners for 2 to 3 days and cleaning of ear canal under direct vision with a fibreoptic light source, microscope or suctioning of ear canal or syringing.

As the wax characteristics and the anatomy of the ear canal is different in different individuals, it is common in cases with a narrow canal or excessive wax secretion or if the wax deposits are dry.

I hope this answers your concern. Do let me know if anything else is required from my side

With regards
Ravinder Sharma

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