Ear Wax Removal & Ear Irrigation
On 6th of December 2011 I gained a competency certificate from Aston University for successfully completing their Basic Ear Care Wax removal Course. This certifies that I am fully competent to remove ear wax using the Irrigation method & Jobson Probe.
Ear irrigation involves using a pressurised flow of water to remove the build-up of earwax. Nowadays, an electronic ear irrigator should always be used rather than a metal syringe, to avoid damaging the ear. The irrigator has a variable pressure control so that syringing can begin at the minimum pressure.
During the procedure, a controlled flow of water is squirted into your ear canal to ‘clean’ out the earwax. The water is about the same temperature as your body.
The healthcare professional treating you may hold your ear at different angles in order to straighten your ear canal, which ensures that the water reaches all areas. They may also look inside your ear a number of times using an auriscope (an instrument for examining the inside of the ear) to check whether the wax is coming out.
The irrigation procedure is painless, but you are likely to feel a strange sensation in your ear as the water is squirted around your ear canal. Inform the person who is irrigating your ear if you have the following symptoms at any time:
- pain,
- inflammation (swelling) of the external auditory meatus (tube running from the outer ear to the middle ear),
- dizziness,
- vertigo (the sensation of movement while still),
- discharge from the ear, or
- hearing loss.
Further treatment
If irrigation proves unsuccessful at removing the earwax, I may recommend one of the following:
- using eardrops again and returning for another irrigation,
- placing water into the ear before irrigating again after 15 minutes, or
- you may be referred to an ear, nose and throat (ENT) specialist to remove the earwax.
When not to use ear irrigation
Ear irrigation is not suitable for everyone. It should not be used if you have:
- had previous problems with irrigation, such as pain in your ear or severe vertigo,
- a perforated eardrum,
- a history of perforation of the eardrum in the last 12 months,
- a mucus discharge from your ear, which may indicate an undiagnosed perforation within the last 12 months,
- had a middle ear infection (otitis media) in the previous six weeks,
- a grommet, which is a small, hollow tube surgically inserted into your ear if you have a build-up of fluid that causes hearing difficulties (see below),
- had any ear surgery, apart from cases of extruded grommets within the last 18 months (see below),
- a cleft palate (whether repaired or not),
- a foreign body (object) in your ear, or
- severe external ear infection (acute otitis externa) with pain in the ear canal or pinna (the visible part of your ear).
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