Cerumen

Dr Daniel J Bell et al.

Cerumen (or earwax) is a natural secretion produced by, and found within the external auditory canal (EAC). It has important roles as part of the first-line of defence of the ear from micro-organisms and optimising function of the tympanic membrane and EAC.

Cerumen is secreted by the ceruminous glands, in concert with the sebaceous glands. The ceruminous glands are a specialised subtype of apocrine (sweat) glands, with approximately 1,000 to 2,000 within the lining of each external ear canal.

Two main forms of cerumen have been identified 1:

  • a watery brownish-yellow wax, primarily found in Caucasian and African populations
  • a drier white form, primarily found in Eastern Asian and native American populations

Cerumen has a variety of functions including:

  • lubrication and waterproofing of the external ear canal, maintaining optimal tympanic membrane suppleness
  • trapping foreign material e.g. fungal spores, bacteria, dust
  • antibacterial properties

Cerumen may mimic a pathological lesion in the external ear canal on CT. It generally has fatty attenuation with a rim of air (see Case 1) 3. If there is any doubt then direct visual inspection will usually clarify its nature. 

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Article information

rID: 58909
System: Head & Neck
Section: Pathology
Synonyms or Alternate Spellings:
  • Ear wax
  • Earwax
  • Ear-wax
  • Ceruminous secretion

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Cases and figures

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    Case 1: Ear wax in the right external auditory canal
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