Objectives: The study sought to ascertain the prevalence; various methods used
for self-ear cleaning practice and identify injuries during self-ear cleaning
malpractice among medical students. Methods: A descriptive cross-sectional
study with an online validated questionnaire conducted electronically from
January to October 2022 among first, second, third, fourth and fifth-year
medical students at Qassim University, including males and females in
Qassim Region, Saudi Arabia. The study sample consisted of 386 participants:
Males (n=202; 52.3%) and females (n=184; 47.7%). The distribution on the level
of education was 1st year (n=85; 22%), 2nd year (n=67; 17.4%), 3rd year (n=81;
21%), 4th year (n=66; 17.1%) and 5th year (n=87; 22.5%). Results: The
prevalence of self-ear cleaning practices among medical students is 83.2%,
males (78%) and females (89%). The association between self-ear cleaning and
experiencing ear or damage to the eardrum had no significant finding (x2 (1) =
0.017, p = 0.895). The students in the study acknowledge that they experienced
different forms of ear symptoms. In terms of ear symptoms, itching was the
most common (32.9%), followed by earache (27.2%) and a feeling of fullness
(26.2%). The least frequent symptoms were vertigo (7%) and ear discharge
(7.5%). Overall, there were significant differences between the methods used
to clean the ears especially ear buds (93%) were the most common method.
Conclusion: Our study demonstrates that, despite senior medical students'
knowledge of medicine, self-ear cleaning still exists. This brings to a close the
widespread lack of knowledge regarding how the ear naturally cleans itself.
Therefore, the study advises highlighting the requirement for a medical
education program on the issues with public health brought on by self-ear
cleaning.
Keywords: Self-ear cleaning, Ear symptoms, Wax removal, Hygiene, Cotton
buds