Keratosis Obturans: Causes, Symptoms, and Treatment

Keratosis obturans occurs when excess keratin accumulates in the ear canal, leading to blockages. This can cause discomfort and affect hearing. Factors such as improper ear-cleaning practices and genetics may play a role in its development. Understanding the importance of gentle ear care and seeking medical attention when experiencing ear-related issues can help manage this condition effectively.

What Are the Symptoms of Keratosis Obturans

Keratosis obturans can cause symptoms like ear pain, hearing loss, ringing in the ears, and a feeling of fullness in the ear. Some people may also experience ear discharge or recurrent ear infections. If you notice these symptoms, it's essential to see a healthcare provider for proper diagnosis and treatment.

  • Severe ear pain, often described as sharp and throbbing, is a common symptom of keratosis obturans.
  • Feeling of fullness or blockage in the affected ear, making it difficult to hear properly, can be experienced with keratosis obturans.
  • Persistent itching inside the ear canal is another symptom that individuals with keratosis obturans may notice.
  • Discharge of yellow or brownish material from the ear due to the buildup of keratin       debris is a characteristic sign of keratosis obturans.
  • Tinnitus, a ringing or buzzing sound in the ear, may also be present in individuals with keratosis obturans.

Secure your health with a second opinion. Make informed decisions and book your appointment today!

Get A Second Opinion

Causes of Keratosis Obturans

Keratosis obturans is typically caused by the accumulation and blockage of keratin debris within the ear canal. This build-up can result from excessive ear cleaning, frequent use of earbuds or hearing aids, or underlying skin conditions like eczema.

The condition can lead to inflammation, pain, and potential hearing loss if left untreated. Regular ear hygiene and proper care can help prevent keratosis obturans.

  • Excessive production of earwax due to a genetic predisposition can lead to keratosis obturans.
  • Poor ear hygiene practices, such as infrequent cleaning or improper ear cleaning techniques, may contribute to the development of keratosis obturans.
  • Individuals who wear hearing aids or earplugs regularly are at higher risk of developing keratosis obturans due to the blockage of earwax.
  • Chronic inflammation of the ear canal, often caused by conditions like eczema or psoriasis, can trigger the formation of keratosis obturans.
  • Underlying skin conditions, such as seborrheic dermatitis, can disrupt the normal shedding of skin cells in the ear canal.

Types Of Keratosis Obturans

  • Primary Keratosis Obturans: This type of keratosis obturans occurs when an excessive amount of keratin accumulates in the ear canal, leading to blockage and potential hearing difficulties.
  • Secondary Keratosis Obturans: Secondary keratosis obturans is often associated with underlying conditions such as chronic otitis externa or eczema, which can exacerbate the build-up of keratin in the ear canal.
  • Bilateral Keratosis Obturans: Bilateral keratosis obturans affects both ears simultaneously, causing a higher level of discomfort and potential hearing impairment compared to unilateral cases.
  • Recurrent Keratosis Obturans: Recurrent keratosis.

Risk Factors

  • Excessive use of cotton swabs or other objects to clean the ear canal can increase the risk of developing keratosis obturans.  
  • Individuals with a history of chronic ear infections are more prone to developing keratosis obturans due to the buildup of hardened earwax.
  • People who have narrow or abnormally shaped ear canals may be at a higher risk of developing keratosis obturans as it can impede the natural expulsion of earwax.
  • Regularly using earplugs or hearing aids can contribute to the accumulation of earwax and increase the likelihood of developing keratosis obturans.
  • Certain skin conditions such as eczema or dermal.

Ready to take control of your health journey? Book your appointment now and start your path towards wellness today!

Book an Appointment

Diagnosis of Keratosis Obturans

Keratosis obturans is diagnosed by your doctor through a physical examination and possibly imaging tests like a CT scan. They will look for a buildup of earwax deep in the ear canal, causing hearing loss and pain. Treatment may involve removing the impacted wax under a microscope. Seek medical help if you experience ear pain or hearing difficulties.

  • Otoscopy: A healthcare provider can visually examine the ear canal using an otoscope to look for the characteristic build-up of keratin in keratosis obturans.
  • Audiogram: Conducting an audiogram can help assess hearing loss associated with keratosis obturans by measuring the patient's ability to hear sounds at different frequencies.
  • CT scan: A computed tomography (CT) scan may be recommended to visualize the extent of blockage and any structural changes within the ear canal caused by keratosis obturans.
  • Microscopic Examination: Taking a sample of the ear canal debris and examining it under a microscope can provide valuable insights into the composition and nature .

Treatment for Keratosis Obturans

Treatment for keratosis obturans may involve removal of the impacted earwax or keratin plugs through ear irrigation or suction. A healthcare provider may also recommend ear drops to soften the buildup for easier removal. In severe cases, a minor surgical procedure may be needed to clear the blockage. It is important to seek medical attention for proper diagnosis and treatment.

  • Ear Lavage: The most common treatment for keratosis obturans involves gently flushing the ear canal with warm water to remove the built-up keratin debris, allowing for improved hearing and reduced discomfort.
  • Microsuction: A healthcare provider may use a small suction device to carefully extract the impacted earwax and debris, providing effective relief for individuals with keratosis obturans.  
  • Ear Drops: Prescription ear drops containing cerumenolytic agents can help soften and break down the hardened earwax, making it easier to remove and alleviate symptoms associated with keratosis obturans.
  • Manual Removal: In more severe cases of keratosis obturans, a healthcare professional may need to manually.
Find Our Specialists
Book Doctor Appointment
Book Free Appointment
Make an appointment just in few minutes - Call Us Now

Frequently Asked Questions

What are the common signs of keratosis obturans?

Common signs of keratosis obturans include sudden hearing loss, ear fullness or pain, and possible drainage from the affected ear.

What are the recommended do's and don'ts for managing keratosis obturans?

Do: Keep ears clean with gentle earwax removal, use ear drops as directed. Don't: Use cotton swabs or insert objects into the ear canal, avoid excessive water exposure.

What are the potential complications of keratosis obturans?

Complications of keratosis obturans may include hearing loss, ear pain, ear infections, and potential damage to the ear canal or eardrum.

How can keratosis obturans be treated and controlled?

Treatment includes ear cleaning, suction removal of debris, and possibly steroid drops. Regular follow-ups can help control symptoms and prevent complications.

How can I prevent the recurrence of keratosis obturans?

Prevent keratosis obturans recurrence by keeping ears clean, avoiding excessive ear cleaning, and seeking medical advice for impacted earwax removal.

Whats app Health Packages Book an Appointment Second Opinion
Feeling unwell?

Click here to request a callback!

request call back