The ears canals are usually self-cleaning. Using cotton tip applicators to clean the ear canal pushes wax closer to the ear drum.

‘The ears canals are usually self-cleaning. Using cotton tip applicators to clean the ear canal not only pushes wax closer to the ear drum, but there is a significant risk of causing minor to severe injury to the ear.’

A study conducted by Nationwide Children's Hospital researchers found that over a 21-year period from 1990 through 2010, an estimated 263,000 children younger than 18 years of age were treated in US hospital emergency departments for cotton tip applicator-related ear injuries -- that is about 12,500 annually, or about 34 injuries every day. "The ears canals are usually self-cleaning. Using cotton tip applicators to clean the ear canal not only pushes wax closer to the ear drum, but there is a significant risk of causing minor to severe injury to the ear," Jatana, who is senior author of the study published in the Journal of Pediatrics, said.
The study found that the majority of injuries occurred as a result of using cotton tip applicators to clean the ears (73 percent), playing with cotton tip applicators (10 percent), or children falling when they have cotton tip applicators in their ear (nine percent).
The most common injuries were foreign body sensation, perforated ear drum and soft tissue injury.
Data for this study were obtained from the National Electronic Injury Surveillance System (NEISS), which is operated by the US Consumer Product Safety Commission.
"These products may seem harmless, but this study shows how important it is that they not be used to clean ears," Jatana, who also serves as Associate Professor at the Ohio State University Wexner Medical Centre, said.









