Is There Any Good Reason to Use Q-Tips?

Brow Beat
Slate's Culture Blog
March 11 2013 7:59 PM

Should You Use Q-Tips to Clean Your Ears?

Hannah_Girls_HBO_Q-Tip
Hannah Horvath (Lena Dunham) had a bad experience with Q-Tips on last night's Girls.

Photo by Jessica Miglio/HBO

Last night’s episode of Girls featured an excruciating scene in which Hannah, grappling with OCD, inserted a Q-Tip deep into her ear canal and “heard air hiss out the hole” she’d apparently poked in her ear drum. Later, show creator Lena Dunham, who plays Hannah, tweeted: “If all I’ve done on this earth is scare you out of using Q-Tips, I will die a happy and purposeful woman.” Is Dunham right? Should you really not be using Q-Tips?

There is a proper way to use Q-Tips and there is an improper way. If you’re putting them in your ears, you’re using them the improper way. Even Unilever, the company that makes the cotton swabs, warns that, when using them to clean the ears, you should “stroke ... gently around the outer ear, without entering the ear canal.” The word “ear” appears only eight times on the Q-Tips website, which emphasizes the cotton swab’s non-aural uses: From polishing your silverware to “cleaning the small crevices of your dog or cat’s face,” it seems you should do anything with a Q-Tip but put it in your ear.

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When it comes to removing earwax, every doctor I spoke to warned against putting anything in your ears. Dr. Stephen Rothstein, an ear, nose, and throat doctor at NYU Medical Center, echoed the advice of Hannah’s mother: He said his grandmother wisely told him to “never put anything smaller than an elbow in your ear.” His grandmother also used to tell him, "Buy Q-Tips if you want to make an ear doctor rich."

The problem with removing earwax (by Q-Tip or any other home remedy) is that earwax serves important functions: It is a lubricant, a defense against foreign objects, and even a natural antibiotic. Earwax becomes a problem when it is packed into the canal and hardens, causing “impaction” (or blockage), and evidence shows that Q-Tips can cause impaction. A person suffering from impacted earwax may experience pain, dizziness, a ringing in the ears, or hearing loss.* If you have wax impacted into your ear canal, you should see a doctor, who will remove it under a microscope—perhaps using suction or bursts of water.

Dr. Rothstein stressed the uselessness (and potential harm) of over-the-counter and as-seen-on-TV earwax removers. He’d recently seen a patient, for instance, who felt there was something wrong with his ear after he’d used an earwax vacuum to clean it. The man’s ear was, in fact, blocked, but not by earwax: Inside the ear canal, Dr. Rothstein found a piece of the ear vacuum. Dr. Rothstein also warned specifically against the practice of ear candling, which involves holding a hollowed candle over your ear and letting it “vacuum out” the wax. “First,” he said, “it doesn’t work. And second, there’s the issue of putting fire by your hair.”

Dr. Felipe Santos, of the Massachusetts Eye and Ear Infirmary,** mentioned that, for those experiencing wax buildup, it can help to put a couple drops of baby oil in the ear once or twice a month, but he seconded the other doctors I spoke with who affirmed that the best option is to see a doctor.

Thanks to Dr. Daniel H. Coelho of Virginia Commonwealth University Medical Center.

*Correction, March 12, 2013: This post originally listed “perilymph” as a symptom of impacted ear wax. Perilymph is a  normal, healthy fluid in the inner ear. (In extreme cases, a Q-Tip may cause a “perilymph fistula” by forcing perilymph to leak out of the inner ear.)

**Correction, March 12, 2013:
This post originally misstated the name of the Massachusetts Eye and Ear Infirmary.

William Brennan is an associate editor at The Atlantic. His work has also appeared online at The New Yorker. You can follow him on Twitter.