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I often get asked in Looe or Launceston Clinic this question, and it usually comes down to one or a combination of the following three reasons: 1) Using a foriegn object to remove the wax such as a cotton bud Using a cotton bud can remove a significant amount of ear wax effectively, however because of the inherent irregular shape of the ear canal not all the wax is likely to be removed and can even be 'pushed' or impacted by the bud leaving fragments of wax that then cause a