Common ENT Questions: Ear Lumps, Cysts, and Earwax Issues Explained

excuse me?

1.
The presence of a pimple-like lesion behind the earlobe that has persisted for some time could be due to several reasons, including folliculitis, sebaceous cysts, or even an insect bite.
It is possible that it could be caused by an insect bite if there is a history of exposure to dirty environments.
A proper evaluation by a healthcare professional is recommended for an accurate diagnosis.
2.
If your friend has a sebaceous cyst that has not resolved, surgical intervention may be necessary.
The risks associated with the surgery include infection, scarring, and recurrence of the cyst.
This procedure typically requires a visit to a hospital or a specialized clinic, as it may not be performed in a general outpatient setting.
3.
The presence of wet, sticky, and foul-smelling earwax may indicate an overproduction of cerumen or an underlying infection.
Visiting an otolaryngologist (ENT specialist) can help assess the condition and provide appropriate treatment options to improve the situation.
Thank you for your inquiry!

Lai, 10~19 year old female. Ask Date: 2008/04/25

Dr. Chen Jianzhi reply Otolaryngology

1.
The most common condition resembling acne behind the earlobe is sebaceous gland hypertrophy or inflammation.
It is advised not to continuously rub the area with your hands, as this may lead to actual inflammation.
2.
If a subcutaneous cyst does not resolve, it is recommended to start with oral antibiotic treatment.
Surgical excision should only be considered if absolutely necessary, keeping in mind that removal may leave scars and could lead to postoperative complications such as wound inflammation.
Therefore, it is advisable to undergo surgery at a hospital, as procedures performed at clinics are not eligible for insurance reimbursement.
3.
If earwax is excessively wet, sticky, and foul-smelling, it is due to the secretion of earwax components from the ceruminous glands, which is a hereditary trait.
Currently, there are no medical methods to improve this condition.
Patients are advised not to use cotton swabs to clean their ears, as this can compact oily earwax inward, leading to complications such as earwax blockage.

Sincerely,
Dr.
Chien-Chih Chen, Attending Physician, Department of Otolaryngology, Taoyuan Hospital, Department of Health; Attending Physician, Department of Otolaryngology, Zhudong Hospital, Department of Health; Lecturer, School of Medicine, Fu Jen Catholic University.

Reply Date: 2008/04/25

More Info

When it comes to common ear, nose, and throat (ENT) issues, many patients have questions regarding ear lumps, cysts, and earwax problems. Let's address each of your concerns in detail.

1. Lumps Behind the Earlobe
The presence of a lump behind the earlobe that resembles a pimple could be attributed to several factors. One common cause is a sebaceous cyst, which occurs when a hair follicle becomes blocked, leading to the accumulation of sebum (oil) beneath the skin. These cysts are generally harmless and can vary in size. They may become inflamed or infected, resulting in pain or discomfort.
Another possibility is a lymph node enlargement, which can occur due to infections, such as a cold or ear infection, or even from skin irritations. If you suspect that the lump is due to an insect bite or irritation from dirty objects, it is plausible, as such irritations can lead to localized inflammation.
If the lump persists, becomes painful, or shows signs of infection (such as redness, warmth, or discharge), it is advisable to consult a healthcare professional for further evaluation.

2. Subcutaneous Cysts
Regarding your friend's subcutaneous cyst, these are typically benign and may not require surgical intervention unless they cause discomfort, become infected, or grow in size. If a cyst is asymptomatic and does not pose any health risks, it can often be monitored rather than surgically removed.
However, if surgical removal is deemed necessary, it is usually performed in a hospital or specialized clinic rather than a general practice setting. The risks associated with cyst removal include infection, scarring, and potential recurrence of the cyst. It’s essential to discuss these risks with a healthcare provider who can provide personalized advice based on the specific characteristics of the cyst.

3. Earwax Consistency
As for the earwax (cerumen) being "wet, sticky, and smelly," this can be attributed to several factors, including diet, hygiene practices, and individual variations in earwax production. Wet earwax is typically more common in individuals of African or European descent, while dry earwax is more prevalent in East Asian populations.
The odor associated with earwax can sometimes indicate an infection or the presence of bacteria. If the earwax buildup is excessive, it can lead to discomfort, hearing loss, or even tinnitus (ringing in the ears).
Visiting an ENT specialist can help address these issues. They can safely remove excessive earwax using specialized tools and techniques, ensuring that the ear canal is clear and healthy. Additionally, they can provide guidance on proper ear hygiene practices to prevent future buildup.

Conclusion
In summary, lumps behind the ear, subcutaneous cysts, and issues with earwax are common concerns that can often be managed effectively with the right medical advice and intervention. If you or anyone you know is experiencing persistent symptoms or discomfort, it is crucial to seek professional medical evaluation to ensure proper diagnosis and treatment. Regular check-ups with an ENT specialist can help maintain ear health and address any emerging issues promptly.

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