Endoscopic Ear Wax Microsuction
— Microsuction Ear Wax Removal Network (@microsuction) 18 June 2016
The Microsuction Ear Wax Removal Network are the first clinics in London to be able to offer endoscopic ear wax microsuction and private endoscopic ear wax removal using instruments by request at selected locations.
Endoscopic microsuction has been shown to be more comfortable than microsuction using an operating microscope or surgical loupes, and is particularly suitable for clients with narrow ear canals.
Private endoscopic ear wax removal using instruments is particularly suitable for clients with severe tinnitus and/or noise sensitivity, where microsuction may not be appropriate due to the noise levels. The instruments used are the St Barts wax hook, the Jobson Horne probe, and crocodile forceps (due to the high cost of the crocodile forceps, an additional charge of £10 is applied if its use is required).
Where there is a foreign object in the ear canal, it may also be necessary to use instrumentation, especially the crocodile forceps.
A 2010 Health Technology Assessment by AJ Clegg et. al. concluded that endoscopic ear wax removal is superior to microscopic wax removal – microscopic wax removal uses an operating microscope or surgical loupes to get a magnified view of the ear canal and ear drum – a speculum (small funnel) must be inserted into the ear canal in order to provide a view, and the speculum takes up some of the space within the ear canal, further restricting the practitioner’s view. Furthermore, the speculum can sometimes cause minor trauma to the skin of the ear canal if the ear canal is very narrow.
In contrast, endoscopic ear wax removal uses a fine 2.8mm endoscope inserted part way into the ear canal. The endoscope is a rod containing fibre optics to relay light from a light source to illuminate the canal and a solid lens (or series of lenses) to relay the view from inside the canal to the outside. The endoscope can be either viewed directly, or imaging equipment (such as what you see below) can be attached to provide better magnification.
If you’re in London, you can find out where you can get private ear wax removal by heading to our page on Private Ear Wax Removal In London.
For other locations, we list our private ear wax removal clinics here.
If you have an ear wax blockage, and would like to book an appointment for endoscopic ear wax removal, please call our booking office on 0800 1 337 987.