Question 1

What is microsuction ear wax removal?

Accepted Answer

Microsuction is a safe, modern method of ear wax removal that uses a small suction device under direct vision through a surgical microscope or loupes. The procedure gently removes wax without introducing water into the ear canal, making it suitable for most people including those with perforated eardrums or ear infections.

Question 2

How does microsuction work?

Accepted Answer

During microsuction, your practitioner uses a surgical microscope or magnifying loupes to see clearly into your ear canal. A small suction tube, similar to a tiny vacuum cleaner, gently draws out the wax. The entire procedure is performed under direct vision, which means the practitioner can see exactly what they're doing throughout.

Question 3

Is microsuction better than syringing?

Accepted Answer

Microsuction offers several advantages over traditional syringing. The procedure is performed under direct vision, so the practitioner can see the wax being removed. No water enters the ear canal, which reduces infection risk and makes it suitable for people with perforated eardrums. Microsuction is generally more comfortable and provides immediate relief.

Question 4

Why is microsuction considered the gold standard?

Accepted Answer

Medical professionals consider microsuction the gold standard because it's performed under direct vision, minimising the risk of damage to the ear canal or eardrum. The procedure doesn't introduce water, which reduces infection risk. Microsuction works immediately without requiring weeks of ear drops beforehand, though drops can help soften stubborn wax.

Question 5

Is microsuction safe?

Accepted Answer

Microsuction is one of the safest methods of ear wax removal when performed by a trained practitioner. The procedure is carried out under direct vision using a microscope, which allows precise control. No water enters the ear canal, reducing the risk of infection. Complications are rare and usually minor.

Question 6

Does microsuction hurt?

Accepted Answer

Most people find microsuction comfortable and painless. You'll hear a gentle suction sound, which some describe as similar to a small vacuum cleaner. The sensation is usually described as ticklish rather than painful. If you experience any discomfort during the procedure, let your practitioner know immediately and they can adjust their technique.

Question 7

Can microsuction damage your ears?

Accepted Answer

When performed by a trained practitioner, microsuction carries minimal risk of ear damage. The procedure is performed under direct vision, which allows precise control and avoids contact with sensitive structures. The suction pressure is carefully controlled. Serious complications are extremely rare.

Question 8

Who cannot have microsuction?

Accepted Answer

Microsuction is suitable for most people, but there are some situations where extra caution is needed. If you have an active ear infection, your practitioner may recommend treating the infection first. People with certain ear conditions may need a specialist referral. Your practitioner will assess your suitability during consultation.

Question 9

Can I have microsuction if I have a perforated eardrum?

Accepted Answer

Yes, microsuction is actually the preferred method for people with perforated eardrums. Unlike ear irrigation, microsuction doesn't introduce water into the ear canal, which could enter the middle ear through the perforation and cause infection. The procedure is performed under direct vision, allowing the practitioner to work safely around the perforation.

Question 10

Is microsuction safe during pregnancy?

Accepted Answer

Yes, microsuction is safe during pregnancy. The procedure doesn't involve any medications, radiation, or techniques that could affect pregnancy. Many pregnant women experience increased ear wax production due to hormonal changes, and microsuction provides safe, effective relief.

Question 11

How long does microsuction take?

Accepted Answer

Most microsuction appointments take 15-30 minutes, including consultation and examination. The actual wax removal usually takes 5-15 minutes per ear, depending on the amount and consistency of wax. If the wax is particularly hard or impacted, the procedure may take slightly longer.

Question 12

What happens during a microsuction appointment?

Accepted Answer

Your practitioner will first discuss your symptoms and medical history. They'll examine your ears using a microscope or otoscope to assess the wax. During the procedure, you'll sit comfortably whilst the practitioner uses a microscope and small suction tube to remove the wax. You'll hear a gentle suction sound throughout. Afterwards, your practitioner will check that your ears are clear.

Question 13

Do I need to use ear drops before microsuction?

Accepted Answer

Ear drops aren't always necessary before microsuction, unlike ear irrigation which typically requires a week of drops. However, if your wax is particularly hard or impacted, using olive oil or sodium bicarbonate drops for 3-5 days beforehand can make the procedure quicker and more comfortable. Your practitioner will advise you when you book.

Question 14

Can both ears be done in one appointment?

Accepted Answer

Yes, both ears can usually be treated in a single appointment. Most practitioners will treat both ears during the same session if both require wax removal. This is more convenient for you and more cost-effective than separate appointments.

Question 15

Will I hear better immediately after microsuction?

Accepted Answer

Most people notice an immediate improvement in hearing once the wax is removed. You may experience a sensation of everything sounding louder or clearer, which is your normal hearing returning. Some people describe sounds as being "crisper" or "sharper" immediately after the procedure.

Question 16

What should I expect after microsuction?

Accepted Answer

After microsuction, your ears should feel clear and your hearing should improve immediately. You may notice that sounds seem louder or clearer than before. Some people experience slight sensitivity to sound for a few hours, which is normal. Your ears may feel slightly different as they adjust to being wax-free.

Question 17

Are there any side effects of microsuction?

Accepted Answer

Side effects from microsuction are rare and usually minor. Some people experience temporary dizziness during the procedure, which resolves immediately afterwards. Your ears may feel slightly sensitive for a few hours. Very rarely, the suction can cause minor irritation to the ear canal, which settles quickly.

Question 18

Can I swim after microsuction?

Accepted Answer

You can swim after microsuction, but it's advisable to wait 24-48 hours to allow your ear canal to settle. When you do swim, consider using earplugs to prevent water entering your ears. If you swim regularly, ask your practitioner about preventive ear care to reduce future wax buildup.

Question 19

How long do the results of microsuction last?

Accepted Answer

The results vary from person to person depending on how quickly your ears produce wax. Some people remain clear for months or even years, whilst others may need treatment every few months. Factors affecting wax production include age, ear canal shape, hearing aid use, and genetics.

Question 20

What's the difference between microsuction and ear irrigation?

Accepted Answer

Microsuction uses gentle suction under direct vision to remove wax, whilst ear irrigation uses water pressure to flush wax out. Microsuction doesn't introduce water into the ear canal, making it safer for people with perforated eardrums or ear infections. Microsuction provides immediate results without requiring days of ear drops beforehand. Learn more about   ear irrigation .

Question 21

Is microsuction better than ear candling?

Accepted Answer

Yes, microsuction is significantly safer and more effective than ear candling. Ear candling has no scientific evidence supporting its effectiveness and carries risks including burns, ear canal obstruction from candle wax, and eardrum perforation. Medical professionals do not recommend ear candling. Microsuction is evidence-based and performed by trained practitioners.

Question 22

Can I just use cotton buds instead?

Accepted Answer

No, cotton buds should never be inserted into the ear canal. They push wax deeper, potentially causing impaction. Cotton buds can damage the delicate skin of the ear canal and even perforate the eardrum. They often make the problem worse rather than better. Microsuction performed by a trained practitioner is the safe, effective alternative.

Question 23

How much does microsuction cost?

Accepted Answer

Microsuction typically costs between £50-£80 per appointment for both ears. Prices vary depending on location and provider. Some clinics charge per ear, whilst others have a fixed price for both ears. The cost usually includes consultation, examination, and the procedure itself. View our   pricing .

Question 24

Is microsuction available on the NHS?

Accepted Answer

NHS ear wax removal services have been significantly reduced in recent years. Many GP surgeries no longer offer ear wax removal, and those that do often have long waiting lists. Most people now need to access private ear wax removal services. Microsuction is widely available privately with same-day or next-day appointments typically available. Read more about   NHS ear wax removal changes .

Question 25

How do I book a microsuction appointment?

Accepted Answer

You can   book a microsuction appointment   by calling the clinic directly or using the online booking system. Most clinics offer same-day or next-day appointments. You don't need a GP referral for private microsuction. When booking, mention any relevant medical history such as perforated eardrums or ear infections.

Question 26

Do I need a referral for microsuction?

Accepted Answer

No, you don't need a GP referral for private microsuction. You can book directly with a clinic offering the service. However, if you have complex ear problems or suspect an underlying condition, your GP may refer you to an ENT specialist who can perform microsuction alongside other investigations.

Question 27

Can children have microsuction?

Accepted Answer

Yes, children can have microsuction, though the approach may differ slightly. Younger children need to stay still during the procedure, so it's important they can cooperate. Some practitioners specialise in paediatric ear care and have techniques to help children feel comfortable. Parents usually stay with the child throughout. Learn more about   children's ear care .

Question 28

Is microsuction suitable for hearing aid users?

Accepted Answer

Yes, microsuction is particularly suitable for hearing aid users. Wearing hearing aids can increase ear wax production and push wax deeper into the canal. Regular microsuction helps maintain clear ears and optimal hearing aid performance. Many hearing aid users schedule regular microsuction appointments every 3-6 months.

Question 29

Can I have microsuction if I have tinnitus?

Accepted Answer

Yes, people with tinnitus can have microsuction. In fact, ear wax buildup can worsen tinnitus, so removing the wax may help reduce symptoms. The suction noise during the procedure might temporarily make tinnitus more noticeable, but this settles quickly afterwards. Let your practitioner know about your tinnitus before the procedure.

Question 30

What if I have very sensitive ears?

Accepted Answer

If you have sensitive ears, let your practitioner know before the procedure. They can work more gently and take breaks if needed. Some people find the suction sensation ticklish rather than uncomfortable. Your practitioner can adjust their technique to maximise your comfort throughout the procedure.

Microsuction Frequently Asked Questions

About Microsuction

Safety & Suitability

The Procedure

After Microsuction

Comparison with Other Methods

Cost & Booking

Special Situations

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