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Ear Wax Extraction Articles

How to choose an ear wax removal clinic

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There is nothing more annoying than a blocked ear. Ear wax build-ups are a common problem across all age groups, causing hearing loss and discomfort to thousands of people every year. While it may not seem like a major problem, a blocked ear can become more serious if left untreated. Wax will harden over time, making it more difficult to remove, and sometimes causing long term hearing damage.

Can I remove ear wax at home?

Although there are ways to remove ear wax at home, doing so can be quite risky. Many people try to remove wax with a cotton bud or a scraper. This often does more harm than good as it can push the wax further into the ear. Using a bud or a scraper also means that you run the risk of damaging your eardrum.

When it comes to ear wax, it’s better to leave it to the professionals. This means visiting an ear wax removal clinic.

Are all ear wax removal clinics the same?

The short answer is no. Ear wax removal clinics vary greatly in both the services they offer and the quality of the treatment they provide. You should look for a clinic with experienced surgeons who specialise in ENT (Ear, nose and throat) treatments. If the clinic is performing specialised procedures such as ear microsuction, you should make sure that the surgeons have received the correct training. If you are unsure about a clinic, take a look at their online reviews and testimonials.

What are the best methods for ear wax removal?

A lot of clinics still favour syringing as a method of ear wax removal. However, this can be messy and unreliable. Microsuction ear wax removal is now considered to be the best treatment for blocked ears. It uses a tiny microscope to find wax and then removes it with a suction device. It is quick, painless and highly effective.

We’re here to help

At Ear Care Labs, we pride ourselves on offering the best ear wax removal and ear wax microsuction London-wide. All of our staff are experienced in ENT treatments and have undergone accredited microsuction training courses. With hundreds of positive reviews, we must be doing something right! We’re always happy to answer questions about our treatments or about ear wax removal costs. Get in touch today to book your appointment.

Everything you need to know about ear wax removal

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Ear wax isn’t something that most of us spend much time thinking about, but we all have it. Knowing what your ear wax is and why it’s there is important, as is understanding how a build-up of too much ear wax can be the cause of some pretty serious problems.

What is ear wax?

Ear wax is a natural secretion which keeps the ear canal lubricated and protects it from dust, dirt, and bacteria. It’s composed primarily of skin cells, dust, and oil secretions. This doesn’t sound too appealing, but actually ear wax plays a very important role in keeping the ear free of infection.

What happens if ear wax builds up?

Most of the time, ear wax shouldn’t cause any problems. The ear is self-cleaning, and so long as your ear wax is not building up it does not need any attention. However, ear wax can build up sometimes. This is more likely when the ear is dry, or in people with particularly narrow ear canals – so waxy ears can run in the family. Wax can sometimes also start to accumulate if it’s been pushed too far down the canal by things like earbuds or hearing aids.

A build up of ear wax can cause hearing loss, pain, and discomfort, and in some people suffering with tinnitus it can even make the symptoms of tinnitus worse. Ear wax blockages are actually quite common, affecting around 6% of the population and accounting for many GP appointments made concerning ear pain. For this reason, it’s important to be aware of your ear wax and, if it is causing problems, consider whether ear wax removal may be necessary.

Why you should consider ear wax removal

Ear wax removal is an effective and safe way to clear out waxy build-up and ear wax blockages. There are a number of methods of ear cleaning, including syringing, which is also called irrigation, ear drops, and microsuction.

Ear microsuction is a modern technique for removing ear wax and debris from inside the ear canal using a very small microscope and a suction probe. This allows the physician to look inside the ear and deliver targeted, low pressure suction to the affected areas.

While microsuction is only offered by specialists, compared to traditional syringing, ear microsuction is a safer, faster, and more comfortable method of cleaning out the ear canal which offers better, faster results.

How much does ear wax removal cost?

If you’re considering ear wax removal in London, visi our specialist Ear Wax Removal Clinic, where we offer ear microsuction appointments for just £75.00. A single ear microsuction appointment will provide comprehensive and thorough ear canal cleaning and provide relief from the pain, discomfort, and annoyance of an ear wax blockage. For more information about our ear microsuction services, get in touch with us today.

Ear Cleaning Methods

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Ear Cleaning Methods

Why you should never clean your ears at home

How do you clean your ears? You might think that you are staying on top of your personal hygiene by using methods such as cotton swabs. But in many cases, these old routines can actually be ineffective, and even harmful.

In this blog, we tell you what not to do when it comes to ear cleaning, run you through some better methods of cleaning your ears, and then present you with the ultimate solution.

Should you use cotton swabs to clean your ears?

If you use cotton swabs to clean your ears, you may want to have a rethink. There is a medical reason why you should not use these seemingly harmless implements to remove ear wax and debris from the ear canal. When you use cotton swabs, there is the tendency to push the wax deeper into the ear canal, which can, in turn, lead to ‘super impacted wax’ which is harder to remove or less likely to come out naturally.

But that isn’t the worst problem you could encounter. There is the potential for you to seriously damage the skin in your ear canals or eardrum, which is recognised as being particularly sensitive.

How should I clean my ears?

There are better cleaning options available to you, which vary in effectiveness; but are much safer. You might wish to soften the earwax with an eyedropper such as mineral oil or baby oil, before rinsing with warm water and drying. Alternatively, you could use a rubber ball syringe to drip warm water into the ear canal. This method can be tricky, requiring the careful tilting of the head, and water at exactly the right temperature.

Why is ear wax microsuction the best ear cleaning solution?

If you contact a leading ear cleaning clinic such as Ear Care Lab, you can take advantage of the best ear cleaning technique – microsuction. Ear microsuction uses specialised magnification loupes or a binocular operating microscope, allowing a sterile suction device to be used at low pressure.

The result of ear microsuction is ear canals which are thoroughly cleaned with great accuracy, while the minimum of physical contact means that the procedure is as comfortable as possible for the patient.

Are you interested in the ear microsuction technique? Call the experts at Ear Care Club today on 0208 004 7808

Ear Care Academy Aural Microsuction Course – December 2019

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Ear Care Lab’s training organisation, the Ear Care Academy is delighted to announce the next available course for aural microsuction. This 2 day course will be on Saturday the 7th December 2019 and Sunday the 8th December 2019. Operating from a world class teaching hospital set up, the course will take place at the NHS Charing Cross Hospital, London Imperial College Healthcare Trust, Audiology and ENT department. The course is open to national and international audiologists, hearing aid dispensers, GPs, nurses, advanced nurse practitioners, pharmacists, paramedics and physicians assistants. Please visit our website to book your place and please note that places are limited.  We now run this course four times a year.

If you would like to discuss the course with our organisers, please email: [email protected]

Ear Care Academy Aural Microsuction Course - December 2019

Ear Wax and how to remove it safely

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At Ear Care Lab, we are experts in all matters relating to ear wax and its safe removal. We have safely treated thousands of patients over several years and are proud to offer a service that is second to none.  This article details all you need to know about ear wax, its symptoms and its removal. 

What is Ear Wax?

Ear wax is a waxy material produced by sebaceous glands inside the ear.  It cleans, lubricates and protects the lining of the ear by trapping dirt and repelling water.  Ear wax is slightly acidic and has antibacterial properties.  Without ear wax, the skin inside your ear would become dry, cracked, infected or waterlogged and sore.  It is extremely important to remember that due to its protective properties, a thin layer of wax left on the lining of the ear canal, following procedures such as syringing and microsuction, is extremely beneficial.  The aim of ear wax treatment is not to completely eliminate ear wax.

Ear wax can be wet or dry, hard or soft. Soft ear wax is more common in children and hard ear wax is more likely to cause problems.  Everyone makes ear wax but the amount and type are genetically determined just like hair color or height.  Some people have ear canals that are smaller than average or shaped in a way that makes it difficult for the naturally occurring wax to get out of the canal, causing wax impactions.  Some people produce more ear wax than others. It usually falls out of your ear gradually, in small pieces or flakes. Sometimes, ear wax can build up and harden, creating a blockage called a “plug”.  As well as causing discomfort, an ear wax plug can also cause temporary hearing loss because it blocks your ear canal. Once the blockage is removed, your hearing will improve.

Causes of Ear Wax

Some people are naturally more susceptible to developing a blockage in their ear, for various reasons.  Blockage, or impaction, also occurs when the wax gets pushed deep within the ear canal.  Ear wax  blockage affects about 6% of people and is one of the most common ear problems doctors see.  Your risk of developing problems from a build-up of ear wax is increased if you have:

  • narrow ear canals or ear canals that aren’t fully formed
  • a lot of hair in your ear canals
  • bony growths in the outer part of your ear canal – these are called osteomata
  • a skin condition of your scalp or preauricular area
  • hard wax
  • a history of recurrent impacted earwax
  • repeated ear infections

Elderly people are more at risk of having ear wax problems because ear wax becomes drier with age.  Your chances of developing an earwax blockage are also increased if you:

  • Use cotton buds – they can push ear wax deeper into your ear and pack it together harder, creating an ear wax plug
  • Wear a hearing aid or earplugs, which can stop ear wax falling out of your ear naturally

Ear Wax Symptoms

Ear wax doesn’t usually cause problems, but a build-up of ear wax can lead to a blocked ear or fullness sensation, ear pain/discomfort and hearing loss.  Too much ear wax can also cause other symptoms, including:

  • Ringing in the ear
  • Itching or drainage from the ear canal
  • Vertigo or Dizziness

Treating ear wax build-up

In most cases, ear wax falls out on its own, so there’s no need to remove it. However, if it’s completely blocking your ear canal and causing hearing loss or discomfort, it may need to be removed.  Indications for earwax removal include:

  • Difficulty in examining the full tympanic membrane (ear drum)
  • Otitis externa – external ear canal infection
  • Wax occlusion of the external ear canal
  • As part of the workup for conductive hearing loss
  • Prior to taking the impression for hearing aid fitting
  • Suspected external ear canal or middle ear cholesteatoma
  • As part of grommet insertion or middle ear surgery
  • Patient request

Ear Wax Removal Treatments

Ear Microsuction

Ear Microsuction is where a special suction device is used to remove the ear wax under a microscope or a special light loupe with magnification. The procedure is quick, safe and painless.  This technique is offered by the Ear Care Lab as the safest and most efficient method of removing ear wax.

Aural Toilet

Aural Toilet treatment uses an instrument called a Jobson Horne probe. A Jobson Horne probe is a thin metal or plastic instrument with a small ring at one end that the specialist can use to remove earwax from your ear canal.  We sometimes have to use instruments like this in order to gently help wax come out.

Ear drops for Ear Wax Removal

Ear drops can be used to soften and loosen the ear wax.  Ear drops should not be used if you have a perforated eardrum.  Ear drops vary in composition from olive oil, to sodium bicarbonate to hydrogen peroxide based drops available in many pharmacies.  Olive oil is generally completely harmless but sodium bicarbonate and hydrogen peroxide based drops can be quite irritant to the ear canal so must not be used for prolonged periods.

Ear Syringing

Ear irrigation or Ear Syringing is often used in many GP surgeries.  Ear Syringing involves using a pressurised flow of water to remove the build-up of ear wax. Ear Syringing is not as effective as Ear Microsuction in many cases.

What is Ear Microsuction?

Microsuction is a technique for removing ear wax or debris using either an ENT (Ear Nose and Throat) binocular operating microscope or specialised magnification loupes (similar to the type dentists use). This allows the clinician to look in the ear canal in great detail and use a very fine sterile suction device at low pressure to remove the wax.  This process is not dissimilar to using a tiny vacuum cleaner inside the ear to remove the wax.  Occasionally we may need to use other instruments to remove hard wax (such as Jobson Horne probes or micro forceps).

Using microsuction means that we can visualise the external ear canal and its contents in great detail while having minimal physical contact with the earlobe. This makes the process more comfortable for patients. Preparation of wax with olive oil ear drops is not usually necessary but may make the procedure faster and more comfortable for the patient. This is discussed in more detail in the FAQ section.

Where can I get Ear Wax Microsuction?

Ear Care Lab are premier providers of Ear Wax Removal in London. Our Ealing clinic is easily accessible from across London through multiple transport routes.

Why is Ear Microsuction Better Than Ear Syringing?

There are a variety of reasons why microsuction is superior compared to the traditional forms of wax removal (e.g. ear syringing or irrigation, ear drops).  Ear microsuction is:

  • safer
  • faster
  • better tolerated
  • more effective
  • usually does not require weeks of waiting for drops to soften the wax. It may be performed on the same day you decide to book your appointment

Are your ears blocked with wax? Do you have reduced hearing? Why suffer? Ear Microsuction is the best method of ear wax removal compared with ear syringing or ear irrigation

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At Ear Care Lab we provide safe, effective ear microsuction to remove ear wax or other causes of ear blockage and to treat external ear infections. Microsuction ear cleaning is the safest method of removing ear wax. This method of ear cleaning usually requires no preparation (i.e. olive oil or other types of ear drops prior to your appointment). Our Ear Microsuction Clinic in Ealing has successfully provided ear wax removal for thousands of patients over a number of years. All our consultations and ear cleaning / ear wax removal services in Ealing, London are with highly experienced microsuction specialists. Our team consists of GPs with a specialist interest in ENT Medicine as well as our Senior Specialist Audiologist. We are experts in ear wax removal and this is why other clinicians come to us to be trained, via our gold standard Ear Care and Microsuction Training Course.


Ear Microsuction Wax Removal at Ear Care Lab

Ear Care Academy – Our Next Gold Standard Ear Microsuction Course is on 2nd and 3rd March 2019 – Charing Cross Hospital – London

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Our training organisation, the Ear Care Academy is delighted to announce the next available course for aural microsuction. This 2 day course will be on Saturday the 2nd March 2019 and Sunday the 3rd March 2019. Operating from a world class teaching hospital set up, the course will take place at the NHS Charing Cross Hospital, London Imperial College Healthcare Trust, Audiology and ENT department. The course is open to national and international audiologists, hearing aid dispensers, GPs, nurses, advanced nurse practitioners, pharmacists and physicians assistants. Please visit our website to book your place and please note that places are limited.

If you would like to discuss the course with our organisers, please email: [email protected]

Ear Care Academy - Our Next Gold Standard Ear Microsuction Course is on 2nd and 3rd March 2019 - Charing Cross Hospital - London

Microsuction Ear Wax Removal in Ealing with Ear Care Lab

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Dr Alex Fragoyannis, a GP in Ealing who specialises in microsuction ear wax removal.  He explains more about the dedicated service he has set up and how DP Medical is involved.


I am a GP partner in Corfton Road Surgery in Ealing and have had a specialist interest in ENT Medicine since before qualifying as a GP in 2006.

I have informally been performing ear microsuction wax removal for several years but two years ago I decided to set up a dedicated ear microsuction service – Ear Care Lab. This was in order to fulfil a growing demand for microsuction from patients not registered with our practice.  Another reason for setting up this dedicated service was to help reduce onward hospital referrals for microsuction to already over-pressured ENT departments.

DP Medical supported us by visiting our clinic and explaining the requirements of a full microsuction setup from consumables (tubing, suction probes), to suction devices and ENT microscopes.  They provided exceptionally good package prices for these items and we use all their equipment including the excellent SOMRON ENT microscope on a daily basis.

Our ambition has always been to disseminate our knowledge to other clinicians and as such, we have created the UK’s first fully accredited Ear Care and Microsuction Course under our new training branch – Ear Care Academy


Our course is delivered on real patients and offers closely supervised hands-on experience over an intensive two days training at Charing Cross Hospital. DP Medical kindly provide ENT microscopes and suction equipment for our course and enable delegates to experience the equipment they might use in their own practices.  We feel their equipment provides an excellent combination of quality, functionality and value for money and it’s been great to build a really successful relationship with them.

Microsuction is the best method of ear wax removal

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Impacted ear wax, leading to blocked ears and hearing loss as well as fullness and discomfort, is common.  It is estimated that just under a third of older people experience the problem. In the UK thousands of people every week have ear wax removed. The chances of wax accumulating are increased by use of external objects in the ear canal including hearing aids and cotton buds.  The traditional method of ear wax removal in most GP surgeries in the country is by irrigation (ear syringing).  In the past, large hand-held metal syringes were used to manually inject water at high pressure in the ear.  This was designed to flush out wax.  These manual syringes resulted in variable pressure of water injected into the external ear canal.  This caused large numbers of complications including external ear infections (Otitis externa), middle ear infections (Otitis media) as well as ear drum perforations.  Ear syringing is now performed using Ear irrigation machines which apply a safer, more standardised pressure via special ear irrigator tips.  Ear syringing/irrigation still results in rather a large number of complications.


Research data on ear syringing and other methods of ear wax removal

There is not much large scale data on the effectiveness of ear syringing.  The last large study on this subject was performed in 1990 (Sharp et al, BMJ, Dec 1990, v301, 1251) where 312 GPs serving a population of 650,000 patients were surveyed in Edinburgh with some interesting data on the process and complication rates of ear syringing:

  • 85 % of GP practices offer ear syringing but only around 19% of GPs actually perform the procedure – they usually delegate the procedure to practice nurses or healthcare assistants
  • Failure of ear wax removal occurred in 29% of cases
  • Otitis media and Otitis externa (middle and external ear infections respectively) occurred in 17% of cases
  • Ear drum perforation occurred in 15% of cases
  • Trauma to the external ear canal occurred in 11% of cases

A more recent systematic review (Cleg et al, Health Tech Assess, Jun 2010, 14 (28), 1-192) found limited good-quality evidence on the safety, benefits and costs of the different strategies of ear wax removal.

Expert opinion however is fairly consistent in terms of support for ear microsuction as the safest method of ear wax removal, resulting in the lowest prevalence of complications.  No procedure is risk-free but ear microsuction offers several advantages over syringing:

  • Microsuction may be used even in the presence of ear drum perforation
  • It is the only technique safe to use for wax/debris removal in the presence of an external or middle ear infection
  • Complication rates are vastly reduced in comparison with ear irrigation.


At Ear Care Lab, we only utilise ear microsuction in order to remove ear wax or debris (i.e. we do not perform ear syringing or irrigation).  We are able to view the external ear canal under high magnification at all times during the procedure and also have the ability to utilise video-oto-endoscopes for even more detailed viewing.  All our ear procedures and consultations are performed by experienced doctors (i.e. no nurses or healthcare assistants perform microsuction in our clinics).

Data from our own ear microsuction clinics shows that:

  • We have no reported incidents of otitis media following microsuction
  • We have no incidents of ear drum perforation
  • Otitis externa occurs in less than 1% of our treatments. We also found that in those patients where otitis externa occurred following microsuction, the external ear canal was already inflamed prior to microsuction starting, as the patient had used sodium bicarbonate or hydrogen peroxide-based softening drops for longer than advisable.  These drops are irritant to the ear canal skin after prolonged use, leading to inflammation, skin breakage and hence a higher risk of bacterial infection
  • Failure of ear wax removal occurs in around 5% of our patients. Usually these patients have extremely hard/immobile ear wax and need softening ear drops prior to further attempts at microsuction.  This rate falls to 0.5% at the second visit with only a handful of patients ever requiring a third visit.


Overall, it is our belief that ear microsuction is the gold standard method of removing ear wax or debris in order to achieve symptomatic relief from ear wax blockage and to treat external ear infections.


Ear microsuction to clear ear wax – Book now

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Ear Care Lab has now been open since mid-October 2016, offering ear microsuction to clear ear wax or other causes of ear blockage! Our first six weeks have been exceptionally busy, seeing patients with a large variety of ENT-related issues ranging from blocked ears, ear infections, tinnitus and dizziness.  We have seen patients for microsuction from all over London (and outside too).  Patients are able to self refer and book via our website or by calling 0208 004 7808.  Many patients have been referred to us by their GPs or by Urgent Care Centres.  We have even seen patients referred by hospital ENT doctors!

Microsuction is superior to ear syringing for a variety of reasons which are detailed here.  We are also now offering Oto-endoscopic ear examination as well as wax and foreign body removal using this new innovative method.  Oto-endoscopy allows direct view of the ear canal and drum at much larger magnification than can be achieved by ENT microscopes and light loupes.  This will make the process of ear wax removal in tricky patients (e.g. with very narrow ear canals) far easier.  We are able to record video as well as take images of the ear canal and drum using this technique.

An example is shown below.