Keratosis obturans (KO) is the buildup of keratin in the ear canal. Keratin is a protein in skin cells.
The exact cause of KO is unknown. It may be due to a problem with how skin cells in the ear canal are produced. Or, it may be caused by overstimulation of the wax glands by the nervous system.
Symptoms may include:
- Mild to severe pain
- Reduced hearing ability
- Inflammation of ear canal
Exams and Tests
Your health care provider will examine your ear canal. You'll also be asked about your symptoms.
KO is usually treated by removing the buildup of material. Medicine is then applied to the ear canal.
Regular follow-ups and cleaning by the provider are important to avoid infections. In some people, lifetime cleaning may be needed.
When to Contact a Medical Professional
Contact your provider if you feel pain in the ear or difficulty in hearing.
Brant JA, Ruckenstein MJ. Infections of the external ear. In: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 137.
Wenig BM. Non-neoplastic diseases of the ear. In: Wenig BM, ed. Atlas of Head and Neck Pathology. 3rd ed. Philadelphia, PA: Elsevier; 2016:chap 23.
Reviewed By: Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.