||Any clot in the meatus should be carefully removed so that the deeper structures can be examined.
It is also much easier to remove a fresh, soft, jelly like clot before it turns into a stony, hard, black, tar like mass as seen here.
Most lacerations of the external ear canal heal completely without visible scarring.
In a few cases a keratin foreign body granuloma develops, due to the implantation of keratin squames into the dermis.
In these cases exuberant granulation tissue forms, usually within 1 to 2 weeks after the injury.
Removal of the granulation tissue and the implanted foreign material (superficial corneocytes) is usually required to allow healing.
The external auditory canal is totally blocked by a stony, hard, tar like plug of desiccated clot.