Earwax Impaction (Cerumen Impaction)

Accumulation and hardening of earwax blocking the external ear canal

Written by: Saygı Hospital Health Guide Editorial Board

Last updated: June 8, 2026

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our KBB (Kulak Burun Boğaz) department. Book Appointment →

What is Earwax Impaction (Cerumen Impaction)?

Cerumen is produced by ceruminous and sebaceous glands in the outer third of the external auditory canal and normally migrates outward.

Impaction occurs when wax fails to clear and hardens, frequently exacerbated by cotton-bud use, hearing aids, narrow canals, or advancing age.

Presentation is decreased hearing, ear fullness, pain, tinnitus, or occasionally dizziness.

Diagnosis is made by otoscopy; audiometry is reserved for persistent hearing loss after clearance.

Symptoms

Decreased or muffled hearing

Feeling of ear fullness or blockage

Ear pain

Tinnitus (ringing in the ear)

Dizziness (uncommon)

Risk Factors

Regular use of cotton buds or other objects in the ear

Narrow or tortuous external ear canal

Hearing-aid or in-ear earphone use

Advanced age (changes in cerumen consistency)

Use of swimming ear plugs

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

If hearing loss is noticeable
If home softening measures fail to clear symptoms
If ear pain or discharge develops

Treatment Methods

Cerumenolytic drops (hydrogen peroxide, sodium bicarbonate, olive oil)

Ear irrigation with warm water by a trained clinician

Manual removal with curette under direct vision

Microsuction under binocular microscopy (preferred for perforation risk)

Patient education on safe ear hygiene (avoid cotton buds)

Which Department to Visit?

You can visit our KBB (Kulak Burun Boğaz) department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About KBB (Kulak Burun Boğaz) Department

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.