医生们对耳烛尤其不屑一顾。斯塔克波尔博士说：“我认为那是魔鬼干的勾当。”这种方法使用一根细长中空的锥形蜡烛。病人侧躺着，蜡烛底部放在耳朵上，并点燃另一端，这样理论上可以在内部产生真空，吸出耳垢。

If softening drops and irrigation don't work, it's time to seek professional help -- from a nurse, physician's assistant, primary-care physician or ear, nose and throat specialist. Many rely on drops and irrigation, but some also use small suction devices and a wired loop instrument called a curette. Some ENTs also have microscopes that attach to the wall and give them a 3-D view into the canal.

许多医生──以及美国食品和药物管理局(Food and Drug Administration)──警告说，这可能使热蜡滴入娇嫩的耳组织，导致灼伤，甚至点燃头发。医生们说，这种方法不管用──锥管内的棕色胶状物是烛蜡，而不是耳垢。

Even trained specialists can get carried away when it comes to removing earwax, says Robert Folmer, an investigator at the National Center for Rehabilitative Auditory Research in Portland, Ore. He co-authored a 2004 survey in which 11 of 2, 400 patients at an Oregon hearing clinic said their tinnitus was caused by a professional earwax removal.

如果软化滴耳液和灌耳不管用，那么是时候找专家帮忙了──可以是护士、医生助手、初级护理医生甚或耳鼻喉科专家。许多人依靠滴耳液和灌耳，但有些人也使用小吸管或被称作耳刮匙的铁圈形工具。有些耳鼻喉科专家还使用附在耳壁上的显微镜，好看到耳道中的3D图像。

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