by Admin
Posted on 06-07-2022 09:49 AM
Recently we have received a few questions about the safety of micro-suction for ear wax removal. I think this is because the procedure is so prevalent. To respond to the questions i did some research into medical studies undertaken around micro-suction ear wax removal. Unfortunately, there are very few in existence. In the study aural microsuction for wax impaction: survey of efficacy and patient perception a study that was undertaken with 159 patients. It was found that although a few people suffered from some pain and or vertigo, "aural microsuction is well tolerated. Side effects are mild, and the prior use of cerumenolytics appears to further reduce their severity".
Microscopic and microsuction ear wax removal is a procedure where ear wax is removed from the ear under a microscope. The microscope is used to directly visualise the ear wax whilst it is being removed using either ent micro-instruments (e.
G. Ear hook, jobson horne) or gentle suction with a low pressure suction machine and fine sterile probe (microsuction).
Microsuction as a tool for ear wax removal has been around for a very long time. Generally, most ent departments used microsuction to remove ear wax from the ear canals of people with perforations or large cavities after mastoid operations. The reason was simple, removal of ear wax using water could be dangerous for these people. Hearing care professionals began to provide ear wax removal as a service several years ago in the uk because it was becoming more difficult to have a gp (general practitioner, medical doctor) provide the service. Gps are under pressure and wax removal takes time.
First line treatment for ear wax is self-management (please give patient leaflet). Referral for microsuction should be considered as a last resort. First line advise olive oil for two weeks to soften wax and enable removal second line advise patient to use sodim bycarbonate drops (over the counter) for three to five days (unless perforated tympanic membrane, also warn patient about potential skin irritation) advise patient to consider use of an ear bulb for removal of wax. This is safe and can be purchased from a pharmacist if self-management fails, try ear irrigation unless contra-indications (see pathway) if all above have failed consider referral for microsuction or ent referral if:.
Microsuction is a safe and effective method of ear wax removal for those who find that the accumulation of wax in their ears has resulted in symptoms such as hearing loss or tinnitus. Our trained wax removal specialist uses surgical loupes to look directly into the ear canal and a very fine sterile suction device, rather than conventional syringing with water, to remove the wax without damaging the ear canal. Ear now offer a mobile wax removal service for those who are unable to attend one of our clinics. We offer the same professional wax removal service and ear care advice but in the comfort of your own home.
How do i know if it is ear wax that is causing the problem? if you have not had confirmation that there is definitely excessive ear wax buildup, we will examine the ears to confirm this. If there is ear wax build-up, we are able to remove this within the same appointment by microsuction. If there is no wax, we only charge £30 for the consultation. We will offer you a hearing test (£30) and a tympanometry test (£60) to further investigate the reasons for your discomfort. Should i use olive oil drops before the appointment? olive oil can be used a few days before your appointment to help soften the ear wax.