Can confirm, I have extremely narrow ear canals and all Q-tips do for me is to pack all my ear wax into the bottom like someone loading a cannon. Had a very painful morning where both ears were impacted one Christmas.thats a negative ghost rider, there are special tools for scrapping build-up. q-tips can break or push the build up deeper into the canal.
If you can't find the specialized tool, what I recommend is getting one of those squeeze bulbs, they may be listed as "enema bulbs." Fill your sink with lukewarm water and very gently flush your ear(s). DO NOT use hot water as you don't want to scald your ear canal and DO NOT use a lot of force or you can rupture your eardrum. This is only to be done as cleaning and NOT as a remedy for impacted ear wax. See a specialist for that if you haven't already. With my ears, I only do this about once a month.