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Knowledge Centre / Earwax

Earwax

Management of earwax impaction.

Reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner)
Last reviewed: 21 October 2025
ENTGeneral Practice

Clinical Guidelines

CKS: Earwax
National
Earwax management | CKS | NICE
National
NICE guideline [NG98]
National
NICE guideline [NG98]: Hearing loss in adults: assessment and management
National
NICE Quality Standard QS185: Hearing loss in adults - Earwax removal
National
Clinical Practice Guideline (Update): Earwax (Cerumen Impaction)
Local
Clinical Practice Guideline: Earwax (Cerumen Impaction) (Update)
Local
NICE guideline [NG98]: Hearing loss in adults: assessment and management
Local

Recent iatroX Q&As

  • What are the recommended first-line treatments for patients with earwax impaction in primary care?Updated: 8/16/2025
  • How can I differentiate between earwax impaction and other causes of hearing loss in a patient?Updated: 8/16/2025
  • What criteria should I use to decide when to refer a patient with earwax impaction to an ENT specialist?Updated: 8/16/2025
  • What are the potential complications of earwax removal procedures that I should inform my patients about?Updated: 8/16/2025
  • How often should I advise patients with a history of earwax impaction to have their ears checked?Updated: 8/16/2025
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