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What are the common misunderstandings about cleaning your ears?

This answer is a draft. It stays unpublished until legal review and source verification are complete.

The answerThe biggest misunderstanding is "earwax is dirt, so it should be removed regularly." Earwax is a protective film made of skin and secretions, and jaw movement carries it outwards naturally. The Oto-Rhino-Laryngological Society of Japan (the Japanese ENT society) advises: cleaning is basically unnecessary; if you do it, once or twice a month and no deeper than about 1 cm from the opening. Pushing wax deeper with a cotton bud, and scratching the ear canal with an ear pick, are the most common problems.

In Japan, ear cleaning is an established habit, and the bamboo ear pick (耳かき, mimikaki) is an everyday household item. Ear, nose and throat (ENT) doctors, however, keep repeating that ear cleaning is basically unnecessary. Here is how earwax works, and what goes wrong (outer-ear infection, perforated eardrum).

Points to weigh

ItemDetailSource
Role of earwaxProtects the skin and keeps out bacteria and dust. Mildly acidic and antibacterialOto-Rhino-Laryngological Society of Japan
Natural clearanceJaw movement (talking, eating) moves the skin of the ear canal outwards, carrying the wax with itSame
How often to cleanBasically unnecessary. If you do: once or twice a month, no deeper than about 1 cm from the opening, gently with a soft cotton bud after a bathSame
Types of earwaxDry (about 70–80% of Japanese people) and wet (genetic). Wet wax builds up more easily and is better removed at an ENT clinicSame
ProblemsCotton bud pushes wax deeper → impacted earwax (blockage); ear pick scratches the canal → outer-ear infection (otitis externa); child moves → perforated eardrumSame; Consumer Affairs Agency
Removal at an ENT clinicCovered by health insurance (earwax removal). A few minutes, painless—
When to see a doctorMuffled hearing, a blocked feeling, pain, itching that continues, discharge—
[Verify] Check the society's advice (frequency, depth), the dry/wet proportions and the accident cases against materials from the Oto-Rhino-Laryngological Society of Japan and the Consumer Affairs Agency.

Misunderstanding 1|Earwax is dirt, so remove it every day

It is a protective film and clears naturally. Basically unnecessary; if at all, once or twice a month.

Misunderstanding 2|Cleaning deep with a cotton bud gets the ear clean

Cotton buds push wax deeper and cause blockages. No deeper than 1 cm from the opening.

Misunderstanding 3|If the ear pick feels good, it must be right

The skin of the canal is thin, and scratches lead to inflammation. That "got some" feeling can be you scraping skin.

Misunderstanding 4|Cleaning a child's ears is a parent's job

Children move, and eardrums get perforated. Take children to an ENT clinic (health insurance, a few minutes).

Misunderstanding 5|If the ear feels blocked, dig it out yourself

Trying to remove impacted wax yourself pushes it deeper. Have it removed at an ENT clinic (insured). If muffled hearing continues, see a doctor.

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Sources

https://www.jibika.or.jp/owned/hp/

https://www.caa.go.jp/policies/policy/consumer_safety/child/

https://www.e-healthnet.mhlw.go.jp/

⚠️ Editorial note: the source URLs above were identified by search. Our working environment cannot reach go.jp domains, so the contents have not been checked against the text. Verify every source before publication and record who checked it and when.

About this article

What we share here are ideas and everyday practices passed down among people living in Japan, together with general information drawn from public sources. They are not official recommendations, and they are not professional instruction. Practices vary between households and regions.

This is general information. Results vary from person to person and depend on your own conditions and surroundings.

Please decide for yourself, using your own judgement, whether any of this suits your situation. We cannot accept responsibility for any damage, loss or injury arising from following this article.

This article is not meant to diagnose or manage any specific medical condition. If you are worried about your health, see a doctor rather than relying on your own judgement.

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