Wax Impaction

Ear wax, also known as cerumen, is a natural substance produced by glands in the ear canal. It plays an important protective role, trapping dust, dirt, and microbes, and helping to clean and lubricate the ear.

Far from being a sign of poor hygiene, wax is part of the body’s normal defence system. In most cases, it slowly moves out of the ear canal on its own, carrying debris with it before flaking away unnoticed.

Wax also:

• Creates a slightly acidic environment that discourages infections
• Acts as a barrier to water and irritation
• Moisturises the skin of the ear canal to prevent dryness and itching

Problems arise when wax accumulates faster than it can clear, leading to impaction and symptoms.

Wax build-up can cause:

• Muffled or reduced hearing
• A blocked or full sensation in the ear
• Earache or discomfort
• Tinnitus (ringing in the ear)
• Itchiness or irritation in the ear canal
• Cough (due to vagus nerve stimulation)

Symptoms may come on gradually or suddenly — for example, after swimming, showering, or using cotton buds.

While over-the-counter drops may help in mild cases, impacted wax often requires professional removal.

Mr Patel uses microsuction to gently remove wax under direct vision. This approach is safer and more comfortable than traditional irrigation or syringing.

He offers:

• Same-day wax removal 
• Endoscopic or microscopic techniques to ensure thorough clearance
• Specialist care for children or those with sensitive ears, perforated eardrums, or patients with a history of ear surgery
• Advice on prevention and maintenance for patients prone to recurrent build-up

Although ear syringing and ear candling are commonly advertised solutions for wax build-up, both methods carry significant risks and are not recommended, particularly if you’ve had previous ear problems.

Syringing

Syringing involves flushing water into the ear to dislodge wax. It is no longer routinely used in ENT practice because:

• It can push wax deeper into the ear canal
• It may cause ear infections, especially if water remains trapped
• It carries a small but serious risk of perforating the eardrum, particularly in patients with a history of ear surgery or grommets
• It often does not fully remove the wax, leading to repeat procedures

Ear candling

Ear candling is a completely ineffective and potentially dangerous alternative therapy that involves placing a lit hollow candle in the ear. It is not supported by any scientific evidence and:

• Does not create suction or remove wax
• Can result in burns to the ear canal or face
• May cause wax from the candle to drip into the ear, worsening the blockage
• Poses a risk of ear drum damage

Mr Patel uses microsuction or endoscopic suction instead — both are safe, dry, and performed under direct vision, ensuring complete clearance with minimal risk.