A 32-year-old teacher presents at her physician’s office complaining of hearing loss in her right ear. Physical examination reveals cerumen completely obstructing the ear canal. Ear wax removal is recommended using which of the following?

**Core Concept**
The removal of ear wax, also known as cerumen, requires a method that is safe, effective, and minimizes the risk of complications such as eardrum perforation or further impaction. The choice of ear wax removal method depends on the extent of cerumen impaction and the individual's anatomy.

**Why the Correct Answer is Right**
The correct answer is **C. Irrigation with warm water**. This method is recommended for ear wax removal when the impaction is minor and the ear canal is not perforated. Warm water irrigation helps to loosen and flush out the ear wax, restoring hearing and preventing further complications. The use of warm water is crucial as it reduces the risk of eardrum perforation.

**Why Each Wrong Option is Incorrect**
**Option A:** **Curette** is a tool used to remove ear wax, but it is not the recommended method for initial ear wax removal due to the risk of eardrum perforation or further impaction.

**Option B:** **Ear drops** may help to soften ear wax, but they are not effective for removing impacted ear wax and may not be suitable for individuals with a perforated eardrum.

**Option D:** **Surgical removal** is typically reserved for severe ear wax impaction or when other methods have failed. It is not the recommended initial approach for ear wax removal.

**Clinical Pearl / High-Yield Fact**
It is essential to use warm water for ear wax irrigation to prevent eardrum perforation and minimize the risk of complications.

**Correct Answer:** C. Irrigation with warm water

✓ Correct Answer: B. 3% hydrogen peroxide ear drops