The cotton does not unravel during use and is thick but I found the pear too big. This is good for babies and toddlers as it prevents the tampon from penetrating too deeply. In reality, however, it only slightly touches the outer part of the ear. If you carefully use a regular cotton swab, it will have the same effect. They are not suitable for adults as the cotton swab is too thick to fit in the ear. They're also pretty expensive for cotton swabs - $12 for 220 pieces.
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