If your hearing is still affected after cleaning the earwax, it may be due to otitis media, otitis externa, perforation of tympanic membrane, or damage to the auditory nerve. 1. Otitis media: Inflammation of the middle ear causes congestion and swelling within the tympanic cavity, dysfunction of the sound transmission structure and function, resulting in hearing loss, so hearing is still affected after cleaning earwax. 2. Otitis externa: the mucous membrane of the external ear canal is edematous and oozing, resulting in narrowing of the external ear canal, so the hearing is still affected after cleaning the earwax. 3. Tympanic membrane perforation: perforation of the tympanic membrane leads to a decrease in the ability of the tympanic membrane to vibrate, so hearing is still affected after earwax cleaning. 4. Damage to the auditory nerve: trauma or tumor compression causes damage to the auditory nerve, so after earwax cleaning, hearing is still affected. If your hearing is still affected after earwax cleaning, it is recommended to consult a doctor in time to find out the cause of the disease and follow the doctor’s instructions for treatment.