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Mr James W Fairley BSc MBBS FRCS MS ( London )   Consultant ENT Surgeon

Mrs Sylvia A Fairley RGN RCNT Dip Nurs ( London )   Practice Manager

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Photo of surgeon carrying out microsuction of the ear as an outpatient procedure. Patient is lying on a couch and specialist uses a speculum and tiny suction tube to examine and treat conditions of the outer and middle earMicrosuction of the EarSurgeon's magfified view down the ear speculum of removal of ear wax by microsuction


Content last updated 26 Jan 2010

Microsuction is an examination and treatment of the ear using a high powered binocular operating microscope. We use very fine delicate instruments, including a miniature vacuum cleaner. This Hoovering of the ear is usually done as an out-patient procedure. Sometimes, and especially in younger children, it is done as a day case surgery under general anaesthetic. Microsuction of the ear is carried out

Earol olive oil spray applied to ear canal to soften waxHaving microsuction treatment: what to expect and what to do

Before microsuction of the ear

You may be asked to use ear drops or Earol olive oil spray for several days beforehand. This will make the treatment easier for you.

During the procedure of microsuction of the ear

After the procedure of microsuction of the ear

Cleaning the ear without microsuction using cotton wool on a Jobson-Horne probeWhat's the alternative?

An alternative to microsuction often used in children with runny, discharging ears is to gently mop out the ear with a cotton wool applicator. Illumination is from light shone over the child's shoulder and focussed onto the ear by a head mirror worn by the surgeon. The view is nothing like as good, and we can't normally reach right down to the eardrum, but it is less scary for the child. If we can't carry out an adequate examination with the child awake, a General Anaesthetic may be recommended.