Patients are advised that we are no longer providing Ear Syringing as an elective service when requested by a patient.
This is because ear syringing is now a discredited method of removing ear wax and is associated with increased ear infections, ear drum perforations and trauma to the ear canal.
Below is some further advice and information that may assist you should you have a build-up of ear wax.
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What is ear wax?
Ear wax is a natural bodily secretion which is protective for your ears. In most cases it removes itself during sleep and when moving your jaw such as when eating and talking.
What are the symptoms of ear wax build-up?
Some people produce more ear wax than others. The most common symptoms are hearing loss and earache. In some cases it can also present with tinnitus and itchiness.
What can I do to remove ear wax?
A simple and easy way to remove ear wax is with Olive Oil Drops/ Sodium Bicarb Spray – It is recommended that this is done 2-3 times daily for 2-3 weeks.
- Lie on your side with the affected ear uppermost
- Pull the outer ear gently backwards and upwards to straighten the ear canal
- Put 2-3 drops of olive oil into the affected ear(s) and gently massage just in front of the ear
- Stay lying on your side for 10 minutes to allow the wax to soak up the oil
- Afterwards, wipe away any excess oil but do not plug your ear with cotton wool as this simply absorbs the oil
- Your hearing- problem may initially worsen after first starting to use the olive oil drops; this is because as the wax softens and swells, it forms a seal. If both ears are blocked, it is recommended to concentrate on treating one ear at a time.
- In most cases, the wax will have softened sufficiently to encourage the wax to come out without further intervention.
- However, if you feel your hearing is still impaired, please make an appointment with the practice nurse or healthcare assistant for further advice and management.
What about ear syringing?
Ear syringing has been discredited as a method of removing ear wax. The National Institute of Clinical Excellence (NICE) has produced guidance which states that ear syringing can cause more harm than good. It is associated with increased –
- Ear infections
- Ear drum perforations
- And trauma to the ear canal
There is also a reported 29% failure rate in the removal of earwax.
As such, in accordance with practices locally and nationally the team at Montgomery-House Surgery has decided to cease offering ear syringing.
There are a number of over the counter self-irrigation kits that can be purchased from pharmacies for those looking for an alternative. It is important to be aware that there is very little clinical based research available on this.
You may also wish to self-refer for private micro-suction (see examles of providers below). There are number of clinics locally that offer this but do remember that most cases of ear wax do improve with topical drops / spray.
When should I see a GP or clinician?
You should see a GP or clinician via our same day access service (e-consult) if you develop fever, severe pain, discharge, bleeding or sudden onset deafness.
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A leaflet with this information can be downloaded from here
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Where can you get Microsuction?
The following providers are examples that can provide microsuction. This list is provided in good faith, but we offer no recommendation to these and have no view on their suitability for your individual needs. Other providers may be available.
Bicester: All Clear Ears (Lindsay Webb)
(Location: Back in Line Complementary Therapy Centre, OX26 6PB)
www.allclearears.co.uk
www.facebook.com/AllClearEars
07881 060 793
allclearears@gmail.com
Oxford: Tripp Hearing
www.tripphearing.co.uk
01865 671 500
enquiries@tripphearing.co.uk
Oxford & Banbury: James Hearing
www.jameshearing.co.uk/wax-removal-clinic-oxford
0845 680 1227
info@jameshearing.com
Home visit service available
Oxford: The Oxford Hearing Centre
www.oxfordhearingcentre.co.uk
01865 861 861
Thame: Aston Hearing
astonhearing.co.uk/taking-hearing-seriously/ear-wax-microsuction/
01844 396 057
jo@astonhearing.co.uk
