Endoscopic Earwax Removal

1. Earwax Drops

There are various ear wax removal treatments available at pharmacies, usually in the form of drops or sprays, designed to help break down or loosen ear wax. These solutions typically come in two main varieties: oil-based and water-based. Water-based treatments are often considered more effective at loosening ear wax but can sometimes cause irritation or increase the risk of infection. Additionally, they may cause the wax to swell, which could lead to a more complete blockage and worsen the sensation of fullness in the ear.

When using ear drops or sprays, it is important that they are at room temperature. Using solutions that are too hot or too cold can trigger dizziness, a condition known as vertigo, by disrupting the balance signals from the ears to the brain. This happens because temperature changes can either stimulate or suppress one ear’s balance organ, leading to a mismatch in signals and creating the feeling of movement when you are still.

To use the drops effectively, lie on your side with the affected ear facing up for 5 to 10 minutes. This allows the solution to enter the ear canal and soften the wax. Once the time has passed, sit up and allow any excess solution and loosened ear wax to drain out. This process should generally be repeated two to three times daily for 10 to 14 days. However, in cases of heavy or deeply impacted ear wax, these treatments alone may not fully resolve the blockage.

2. Ear Syringing

Ear irrigation, commonly performed by nurses in GP clinics, involves flushing the ear canal with water to remove ear wax. This is typically done using either a manual syringe or a powered irrigation device. To prepare for the procedure, ear drops or sprays are usually recommended in advance, often for a period of 10 to 14 days, to soften the wax, making it easier to dislodge.

Despite its usefulness, ear irrigation is increasingly avoided by many healthcare professionals due to potential complications. Modern irrigation devices allow for controlled water pressure, minimising the risks associated with older, high-pressure syringes. However, since the procedure is done without visual guidance, there’s still a risk of damaging the eardrum, particularly if it has previously been compromised by surgery or injury. If there is a hidden tear or hole in the eardrum, flushing the ear could force both water and wax into the middle ear, possibly causing an infection. This concern also extends to individuals with grommets (ventilation tubes) in place.

Syringing is not recommended for individuals who have experienced a middle ear infection in the last six weeks, as it may lead to a recurrence. It should also be avoided for those suffering from outer ear infections, as it could worsen the condition and be extremely painful. 

Even in healthy ears, there remains a small risk of infection following the procedure, especially if the water isn’t properly sterilized. Additionally, to prevent dizziness or vertigo, it’s crucial that the water used is at body temperature (37ºC), as drastic temperature changes can affect the ear’s balance system, causing a sensation of movement when standing still. 

We do not offer ear syringing/irrigation at Clear Canal Clinic.

3. Earwax Microsuction

Endoscopic earwax microsuction is a precise and effective method for removing earwax (cerumen) from the ear canal. It combines the use of an endoscope (a small camera) with gentle suction to safely and efficiently clear earwax. This method is often recommended for individuals who need professional ear care, especially when other methods, like ear drops or syringing, are not suitable or effective.

The procedure involves using an endoscope, which provides a clear, magnified view of the ear canal. This allows the clinician to see the earwax buildup in real-time and precisely remove it using a small, controlled suction device. The suction is gentle, minimizing any discomfort or risk of injury to the ear canal or eardrum.

Unlike traditional methods like ear syringing, which often involve flushing the ear with water, microsuction uses dry suction, making it a more comfortable option for many patients. It is especially beneficial for people with conditions like ear infections, a perforated eardrum, or those with sensitive ears who may find water-based methods uncomfortable or risky.

Benefits of Endoscopic Earwax Microsuction

Precision: The use of the endoscope allows for a detailed view of the ear canal, ensuring that the earwax is removed carefully without affecting other areas of the ear.

Safety: Because the procedure is done under direct visual guidance, the risk of injury to the ear is minimized. The gentle suction also reduces the chances of causing discomfort or harm compared to older methods.

No Water Involved: Unlike ear syringing, there’s no water used in microsuction. This is especially advantageous for individuals with sensitive ears, ear infections, or those who have had previous eardrum damage.

Quick and Efficient: The procedure is typically completed in about 15-20 minutes. Patients often experience immediate relief after the wax is removed, with no need for additional treatments or waiting.

Suitable for Many Cases: Microsuction is a versatile option suitable for a wide range of patients, including those with narrow ear canals, excessive earwax buildup, or hearing aid users.