Every clinic visit is filled with patients of all shapes and sizes, and there is no shortage of patients who have their ears pulled out. Many people are in the habit of pulling out their ears, whether it’s for routine care reasons or to address localized itching and discomfort. However, what I want to tell you is to never pull out your ears, meaning, of course, not to do it often, because it can be addictive. The external auditory canal is about 2.5-3.5cm long, composed of cartilage and bone, and is not always a tube, slightly curved in the shape of an S. The skin of the external auditory canal is thin. The skin of the external auditory canal is thin, and the adhesion with the cartilaginous membrane and periosteum is tight, so when the skin of the external auditory canal is swollen, the pain is more intense. The skin of the cartilage contains ceruminous glands, which are similar to sweat glands and can secrete cerumen (commonly known as earwax), and is rich in hair follicles and sebaceous glands. Normal sebaceous gland secretions from the external auditory canal are slightly acidic, with a pH between 5.0 and 7.8. When cerumen dries in the air, it is in the form of a thin sheet, and some cerumen is like sticky grease, commonly known as “greasy ear”. Cerumen has the function of protecting the skin of the external auditory canal and adhering to foreign objects. Normally, cerumen is discharged by itself with the help of chewing, opening the mouth and other movements. If the cerumen gradually coalesces into a mass and becomes blocked in the external auditory canal, it is called cerumen impaction. Cerumen impaction is common in outpatient clinic, both adults and children, most of them are “greasy ears”, some are dry ears, but due to water ingress, it swells up and leads to ear blockage, hearing loss or even pain and inflammation to seek medical treatment, some patients try to pull out the ear on their own but to no avail. The best way is to find a professional otolaryngologist. Simple ones can be removed by using gun tweezers or cerumen hooks, and the larger or harder ones may need local sodium bicarbonate ear drops for 2-3 days to soften them before rinsing them out. External auditory canal boil is a limited otitis externa that occurs on the cartilage of the external auditory canal and is common in summer and fall. It is caused by bacterial infection of the skin follicles or sebaceous glands in the cartilage of the external auditory canal with staphylococcus bacteria. Hollowing out the ear is the most common cause, swimming, external auditory canal irrigation, middle ear long-term pus and external auditory canal eczema can be induced. The whole body, such as diabetes, endocrine disorders, etc. are prone to this disease. Correct the habit of pulling out the ear, swimming. After shampooing or bathing, the external auditory canal should be swabbed dry rather than pulled out. Diffuse otitis externa is a widespread inflammation of the skin and subcutaneous tissue of the external auditory canal, divided into acute and chronic. It is a bacterial or viral infection, and the causative factors are related to the following: aqueous impregnation, removal of sebum (ear-pulling), trauma (ear-pulling), lack of cerumen, pus irritation from acute and chronic suppurative otitis media, metrorrhagia, hydrogen-ion index of secretions, anatomical configuration, drug irritation, or systemic disease. Eczema of the external auditory canal refers to a polymorphic rash that occurs in the external auditory canal and is mainly characterized by itching and recurrent episodes. The etiology and pathogenesis are not well understood, and may be related to allergic reactions, psychogenic factors, endocrine disorders, metabolic disorders, dyspepsia and so on. Fungal otitis externa is a subacute or chronic inflammatory disease of the skin of the external auditory canal, mostly thought to be caused by fungal infections, often combined with bacterial infections, and is more common in hot and humid seasons. Predisposing factors include: increase in ambient temperature and humidity, cerumen has the effect of inhibiting fungal growth, cerumen deficiency favors fungal reproduction, chronic suppurative otitis media is easy to be combined with fungal infections, which may be related to long-term use of broad-spectrum antibiotic ear drops in the ear, and ear injuries caused by pulling out the ear. Keep the external ear canal dry, quit the habit of pulling out the ear. Through the above simple introduction, we know that appropriate regular care of the external auditory canal or pulling out the ear, can clean part of the cerumen, for some people is necessary, but can not be too often to pull out the ear, really addictive, the more you pull out the more you want to pull out, the more itchy the more uncomfortable, the local normal mucous membrane and the skin environment is changed, will result in a variety of inflammatory chronic disease, medical treatment up to It will take a long time and the effect is not ideal.