Can Wearing a Mask Cause Ear Pain and Ear Deformity? - Otolaryngology

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Ear problems


I have been wearing a mask for two days, and my ears are a bit sore behind them.
My ears are close to my head.
If I wear the mask for a long time, will my ears become protruded?

2013, 20~29 year old female. Ask Date: 2012/10/21

Dr. Hu Kexin reply Otolaryngology


It is not recommended to wear a mask for an extended period, as it may cause damage to the skin around the ears.

Reply Date: 2012/10/21

More Info


Wearing a mask for extended periods can indeed lead to discomfort and pain in the ears, as well as potential deformities, particularly if the mask is not designed to distribute pressure evenly. The primary reason for this discomfort is the pressure exerted by the mask straps on the ears. When masks are worn for long durations, especially those with tight-fitting straps, they can cause irritation and pain in the skin and underlying tissues of the ears. This is particularly true for individuals who may have sensitive skin or pre-existing conditions affecting the ear area.

1. Ear Pain from Mask Wearing: As you mentioned, wearing a mask for two days can lead to pain behind the ears. This pain is often due to the constant pressure from the mask straps, which can irritate the skin and the cartilage of the ear. The ears are relatively delicate structures, and prolonged pressure can lead to inflammation and discomfort. If the pain persists, it is advisable to take breaks from wearing the mask, adjust the fit, or consider using masks with softer straps or those that are designed to minimize ear pressure.

2. Risk of Ear Deformity: Regarding the concern about ear deformity, such as the ears becoming "floppy" or "externalized," this can occur if there is significant and prolonged pressure on the ear cartilage. The ear is primarily made up of cartilage, which is flexible but can be reshaped with enough consistent pressure. If the mask straps are too tight or if the mask is worn for excessively long periods without breaks, it could potentially lead to changes in the ear's shape over time. However, this is more likely to happen in individuals who wear masks continuously for many hours each day without any relief.

To mitigate these issues, here are some recommendations:
- Adjust the Fit: Ensure that the mask fits properly. Masks that are too tight can cause more pressure on the ears. Look for masks with adjustable straps or those that can be worn around the head instead of over the ears.

- Take Breaks: If possible, take breaks from wearing the mask, especially during times when you are not in close contact with others. This will relieve pressure on your ears and give your skin a chance to recover.

- Use Ear Protectors: There are products available, such as ear protectors or mask extenders, that can help alleviate the pressure on the ears. These can be particularly useful for individuals who need to wear masks for extended periods.

- Consult a Specialist: If you notice persistent pain or any changes in the shape of your ears, it is advisable to consult a healthcare professional, such as an ear, nose, and throat (ENT) specialist or a dermatologist. They can provide guidance on managing the discomfort and addressing any potential deformities.

In conclusion, while wearing a mask is essential for public health, especially during times of respiratory illness outbreaks, it is important to be mindful of the potential side effects on ear health. By taking preventive measures and being aware of how long you wear a mask, you can minimize the risk of ear pain and deformity. If problems arise, seeking professional advice is always a prudent step.

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