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Spending countless hours riding the waves, kayaking through waters, or simply enjoying the cold breeze on your face might be one of the purest joys in life. But when those waves start bringing more than just adventure—like repeated ear infections or hearing issues–you might have Exostosis, more commonly known as Surfer’s Ear.

What is Exostosis?

Exostosis, or surfer’s ear, is when your ear canal starts narrowing because of surplus bone growth. Although it might sound alarming, it is your body’s natural response to being in cold water and being exposed to wind often. Think of it as a protective measure that is just a little too effective, causing more trouble than it prevents.

Surfers, swimmers, kiteboarders, and even kayakers are most at risk, especially in regions with colder climates. This extra bone growth can eventually block your ear canal, trapping water and wax, causing stubborn ear infections, persistent discomfort, and even hearing loss.

How do you know if you have surfer’s ear?

Symptoms can be subtle initially, and you might notice water feels trapped in your ears after surfing, swimming, or showering. You might also experience frequent ear infections, wax buildup, or a muffled sensation, as though someone turned down the volume of your life. Eventually, if the ear canal narrows significantly, around 90%, your hearing could noticeably decline. That is when everyday conversations become challenging, and it is clear that action is required.

Why does cold water affect your ears?

Cold water and wind exposure trigger your body to respond by building extra bone in the ear canal. This protective yet problematic growth is especially noticeable in colder ocean waters. The more frequently you surf or swim in these environments without ear protection, the higher your chances of developing exostosis.

Can you prevent surfer’s ear?

Yes, you can. Prevention is always your best ally. Dr Michael Molyneaux, a professional ENT Specialist in Cape Town and Constantiaberg, strongly recommends wearing ear protection, as it is the simplest, most effective solution. Specialised ear plugs, created specifically for water sports, can significantly reduce your risk. Wearing these plugs and wearing a wetsuit hood or a protective headband offers even better protection, helping you keep your ear canals protected from the cold.

How do you treat Exostosis?

If you already notice symptoms like wax buildup, trapped water, or repeated infections, do not panic. Regular cleaning by a qualified ENT specialist like Dr Michael Molyneaux can help manage these symptoms well. For example, we remove wax and manage antibiotics for infections, making a noticeable difference in your comfort and hearing.

Dr Molyneaux also offers a specialised no-cut chisel technique, an innovative, minimally invasive surgical option. Unlike traditional methods, this advanced procedure removes the problematic bone growth directly through your ear canal without external incisions. This method means faster recovery, less discomfort, and a more rapid return to the activities you love.

Dr Molyneaux is among a select few ENT specialists in Cape Town and South Africa who offer these cutting-edge, minimally invasive techniques.

Where can I find professional help?

Located conveniently for those seeking an ENT specialist in Cape Town, Dr Molyneaux’s practice in Constantiaberg is your dedicated resource for all things related to surfer’s ear. As a surf ear specialist, he knows the condition deeply and also recognises your passion for water sports and your need for effective, compassionate treatment.

Take action today for clearer, healthier ears

Do not let ear discomfort hold you back from doing what you love. If you suspect you have a surfer’s ear or simply want professional advice on preventing it, contact our ENT Constantiaberg or ENT Cape Town clinics today. Dr Molyneaux and his skilled team will help you protect your ear health so you can enjoy the waves without worrying.