Book Online
Dylan Walker director and founder

Aural Microsuction: The Gold Standard for Efficient and Safe Earwax Removal


Cerumen impaction, or the accumulation of earwax, is a prevalent issue affecting individuals of all ages. While various methods exist for earwax removal, aural microsuction has emerged as the gold standard due to its efficacy, safety, and patient comfort. This clinical article explores the advantages of aural microsuction over other methods and highlights its significance in clinical practice.



Cerumen, commonly known as earwax, is a natural substance produced by the ceruminous glands in the ear canal. Under normal circumstances, earwax serves a protective function, preventing dust, debris, and micro-organisms from entering the ear. However, excessive or impacted earwax can lead to a range of symptoms, including hearing loss, tinnitus, dizziness, and discomfort.


Methods of Earwax Removal

Several methods are employed for earwax removal, including cerumenolytic drops, irrigation, and manual extraction. Each method has its advantages and limitations, but aural microsuction has gained recognition as the preferred approach for its distinct benefits.


Advantages of Aural Microsuction

Precision and Control

Aural microsuction involves the use of a specialised suction device under direct visualisation through a surgical microscope. This allows for precise and controlled removal of earwax, minimising the risk of trauma to the ear canal and tympanic membrane. The clinician can navigate the ear canal with accuracy, ensuring complete removal of cerumen without causing damage.


Safety Profile

Compared to other methods, aural microsuction boasts an excellent safety profile. It eliminates the potential for complications associated with ear irrigation, such as water retention or infection. Moreover, manual extraction methods using instruments like curettes or loops may pose a risk of injury to the ear canal or tympanic membrane, which is minimised with microsuction.


Minimised Discomfort

Patients often find aural microsuction to be a more comfortable experience compared to irrigation or manual extraction. The gentle suction process, combined with real-time visualisation, reduces anxiety and discomfort associated with other methods. This is particularly advantageous for individuals with sensitive ear canals or a history of ear-related issues.


Applicability to Various Ear Canal Conditions

Aural microsuction is versatile and can be applied to a wide range of ear canal conditions, including those with anatomical variations or abnormalities. The flexibility of the suction tip allows clinicians to adapt to different situations, ensuring effective cerumen removal in diverse patient populations.



In conclusion, aural microsuction stands out as the optimal method for earwax removal due to its precision, safety profile, patient comfort, and applicability to various ear canal conditions. Clinicians should consider incorporating aural microsuction into their practice to provide the highest standard of care for patients experiencing cerumen impaction. Continued research and training in this technique will further enhance its widespread adoption and effectiveness in clinical settings.

We are now open and taking bookings at Wimbledon Ear Clinic!

Book now to visit our new clinic