Proponents of thermal auricular therapy, also called ear candling or ear coning, claim that placing a burning candle-like tube in the ear helps to eliminate ear wax and draw toxins and other impurities out of the ear and head. The FDA disagrees, describing the practice as dangerous and ineffective.
What Is Ear Candling?
Touted as an alternative medicine cure-all for conditions ranging from the buildup of ear wax to cancer, ear candling involves placing a hollow cone shaped candle . Promoters of these products claim that the heat generated by the candles create a suction that pulls toxic elements and impurities out of the ear canal.
The candle is a hollow tube approximately 10 inches long made of fabric dipped in beeswax and/or paraffin. Patients undergoing this alternative medical therapy lay on their sides as the candle is inserted into the outer ear through a plate. As the candle burns, wax drips into the ear. Following treatment, the practitioner removes the cooled wax and soot from the ear.
Why Is FDA Warning Against the Ear Candling?
Despite claims made by proponents of ear candling, the FDA finds that the practice is not only ineffective as a medical device but also dangerous. According to the FDA, risks associated with ear candling include:
- fire
- burns to the ear canal, middle ear and eardrum
- burns to the face
- puncture of the eardrum
- plugging the ear with wax
- bleeding
In addition to these risks of injury, the FDA expresses concern that the claims issued by marketers of ear candling might lead some patients to delay in seeking medical treatment for serious conditions and diseases believing that the ear candling procedure will provide an effective treatment.
FDA Enforcement on Ear Candles
The FDA considers ear candles to be medical devices. As such, any person wishing to place these products on the market must obtain FDA approval, proving that the ear candle is both safe and effective.
According to the FDA, since beginning its action against ear candles, the agency has seized imports, issued import alerts, filed injunctions and filed warning letters against companies importing and marketing ear candles in the United States.
Data Supporting a Ban on Ear Candles as Medical Devices
In support of action against ear candling, Health Canada has also acted to stop the illegal marketing of ear candles, not only by issuing warnings and injunctions against violators but also by releasing the results of a study on the device’s effectiveness as a medical treatment. According to the FDA, Heath Canada’s testing of ear candles revealed that the products provide no therapeutic value, with no measurable beneficial effect on the ear.
In addition to reports received by the FDA on injuries associated with the use of ear candles in the U.S., the FDA points to a 1998 survey published in Laryngoscope, a medical journal, that describes several cases of damage to the ear including, burns, blockage and puncture of the eardrum.
The FDA advises that patients discontinue the use of ear candles and report any injuries to the MedWatch Adverse Event Reporting Program.
Sources:
U.S. Food and Drug Administration (FDA); Don’t Get Burned: Stay Away from Ear Candles, accessed February 28, 2010 at http://www.fda.gov/
FDA MedWatch Adverse Event Reporting Program; MedWatch Online Voluntary Reporting Form (3500), accessed February 28, 2010 at http://www.fda.gov/
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