Christina (below), one end of the "thread" is about 2.5 cm reinforced so you can use the end to insert the thread into the ear hole, and then pull it out - only in one direction, so we don't clean the dirt from the passage back and forth. Some people shed more skin cells, oil, bed fluff, etc., which can collect in a small plug in the ear hole, and that's what flossing is supposed to remove by pulling it through. They work great for me! I simply dip the slack end of the thread in a small amount of hydrogen peroxide, give it a double pull and discard it.
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