Regular use of cotton swabs to clean out your ears can contribute to vertigo and dizziness, new research conducted by Henry Ford Hospital concludes. The research, presented at last month’s Combined Otolaryngology Spring Meeting in Chicago, found a direct link between cotton swab usage and vertigo caused by ruptured ear drums.

The ear drum damage, known as tympanic membrane perforation (TMP) was found to be a more common underlying cause of vertigo than most ear, nose and throat doctors realize. Importantly, the researchers found that more than 95% of TMP cases healed naturally without any medical treatment. The study authors recommend that people suffering from vertigo discontinue the use of cotton swabs to clean their inner ears.

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