Small white granules growing on the inner wall of the ear

White small granules appearing on the inner wall of the ear may result from accumulated sebaceous gland secretions, abnormal keratin layer metabolism, healing after ear canal trauma, external auditory eczema, or fungal otitis externa. These conditions can be improved through proper cleaning and care, avoiding irritation, and medical treatment. If the number of granules increases or is accompanied by itching or pain, prompt medical attention is recommended.

1. Accumulated sebaceous gland secretions: Overactive sebaceous glands in the ear canal may lead to secretions that fail to drain properly, eventually hardening into white granules. Usually, there is no significant discomfort. It's recommended to gently wipe with a clean cotton swab, avoid aggressive digging, and keep the ear canal well-ventilated and dry.

2. Abnormal keratin layer metabolism: As the skin lining the ear canal naturally sheds and renews, dead skin cells may accumulate and form white granules, typically without pain or itching. Minimize ear canal irritation, avoid frequent touching, and if necessary, gently rinse and clean with normal saline.

3. Healing after ear canal injury: Minor injuries caused by ear picking or water entering the ear canal may lead to tissue overgrowth or coagulated secretions during the healing process, forming white granules. Avoid further trauma to the ear canal, maintain local cleanliness, and allow the wound to heal naturally.

4. External auditory eczema: Eczema in the ear canal triggered by allergies or humid environments may present as white, pimple-like granules, accompanied by noticeable itching and flaking. Under medical guidance, patients may use medications such as mometasone furoate cream (mometasone furoate), loratadine syrup, or calamine lotion to relieve symptoms.

5. Fungal otitis externa: A moist ear canal environment promotes fungal growth, leading to inflammation and white, fluffy, or granular discharge, often associated with itching and a sensation of blockage. Under medical supervision, antifungal treatments such as fluconazole ear drops, itraconazole capsules, or sodium bicarbonate ear drops may be used to alleviate discomfort.

Maintain clean and dry ear canals; avoid using sharp objects for ear cleaning, refrain from frequent ear picking or allowing water to enter the ear canal, eat a light diet avoiding spicy and irritating foods, and reduce stimulation to the ear canal.