Earwax Impactions
Earwax (cerumen) impaction occurs when earwax builds up in the ear canal and becomes tightly packed. In children, this can happen for several reasons including the natural shape of the ear canal, overproduction of wax, or attempts to clean the ears with cotton swabs which often push wax deeper rather than removing it. While cerumen is normal and helps protect the ear by trapping dirt and bacteria, too much of it can lead to a blockage.
Symptoms of cerumen impaction in children can vary. Some children may complain of muffled hearing or a sensation of fullness in the ear. Others may experience ear discomfort, itching or ringing in the ear (tinnitus). In some cases, children may not report symptoms at all and the buildup is only noticed during a routine check-up. If left untreated, impacted wax can sometimes lead to pain, difficulty hearing or rarely ear infections.
Cerumen impactions can often be managed at home using products like hydrogen peroxide or mineral oil. If your child has a cerumen impaction that can’t be managed at home, referral to our specialists at ENT for Kids may be needed to remove it. Our providers use special tools such as a microscope for better visualization and fine instruments like curettes or gentle suction to safely remove the wax. In some cases, softening drops may be used before removal, especially if the wax is hard or dry. This procedure is typically quick and well tolerated, even in younger children.
If you’re concerned about your child’s ear health, please reach out to us to arrange a consultation.