How to remove ear stones

Nov 26, 2025 Source: Cainiu Health

Dr. Lu Cheng

Introduction

In general, ear stones can be removed through methods such as ear canal irrigation, cerumen hook extraction, suction, removal after softening with medication, or external ear canal cleaning procedures. After removal, it is important to keep the ear canal dry. Avoid using cotton swabs, hairpins, or other objects to clean the ears in daily life, as this may push earwax deeper and lead to stone formation. If symptoms such as ear fullness or hearing loss occur, prompt medical attention is recommended.

Generally, ear stones (cerumen impaction) can be removed using methods such as ear canal irrigation, cerumen hook removal, suction removal, removal after medication softening, and external auditory canal cleaning procedures. A detailed analysis is as follows:

1. Ear Canal Irrigation

This method involves using warm normal saline solution, which is flushed against the posterior upper wall of the ear canal at an appropriate pressure. The water flow can dislodge softer ear stones. During irrigation, the head should remain tilted to allow the fluid to drain naturally, preventing fluid retention in the ear canal and avoiding discomfort.

2. Cerumen Hook Removal

A physician uses a specialized cerumen hook, carefully inserting it along the ear canal wall to gently hook and steadily remove the ear stone. This procedure requires precision and gentleness to avoid damaging the ear canal skin or eardrum. It is suitable for ear stones that are relatively superficial and hard in texture.

3. Suction Removal

A negative-pressure suction device is used to extract the ear stone under direct visualization. This method causes minimal irritation to the ear canal and is ideal for removing small or already softened ear stones. It effectively prevents fragmentation and residual debris within the ear canal.

4. Removal After Medication Softening

First, a softening agent such as sodium bicarbonate ear drops is administered several times daily. Once the ear stone has softened and expanded, it is then removed via irrigation or suction. This softening process reduces removal difficulty and minimizes trauma to the ear canal, making it particularly suitable for large, hard ear stones.

5. External Auditory Canal Cleaning Procedure

This procedure is required when the ear stone is tightly impacted or accompanied by ear canal inflammation. The physician uses a microscope to thoroughly clean the ear canal, completely removing the stone and treating any inflamed tissue to ensure patency. Postoperative care is essential to maintain ear canal hygiene and prevent infection.

In addition, after ear stone removal, it is important to keep the ear canal dry. Avoid using cotton swabs, hairpins, or other objects to clean the ears, as this may push earwax deeper and lead to stone formation. If symptoms such as ear fullness or hearing loss occur, prompt medical attention is recommended.

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