Microscopic Examination and Microsuction
Microscopic examination and microsuction is a safe and effective way for an ENT specialist to examine the ear using a microscope, and gently remove wax, dry skin, discharge, or debris.
At a glance
- Consultation required
- Next-day availability
- Paediatric Patients Aged 0+ Seen
- Health insurance
- Self-Pay Available
What is microscopic examination and microsuction?
Microscopic examination allows an ENT consultant, or audiologist, to have a clear and magnified view of the ear canal and eardrum. It can be used to check the health of the eardrum and identify infections, or skin conditions, inside the ear canal.
Microscopic examination also allows a specialist to safely use instruments, including gentle, low-pressure suction (microsuction), to clear the ear canal of wax, discharge, dead skin, or other material that may be causing a blockage. Compared to traditional syringing or flushing, which use water to clear the ear canal, microsuction is considered the gold standard treatment. It offers greater accuracy, and reduces the risk of injury, because the specialist has a detailed view of the ear canal throughout.
You may be offered microscopic examination and microsuction if you have symptoms caused by a blockage or irritation, such as:
decreased hearing
earache or discomfort
a feeling of fullness or pressure in the ear
tinnitus
itching or irritation in the ear
discharge from the ear
At Welbeck, our ENT consultants and audiologists carry out microscopic examination and microsuction in our dedicated Ear, Nose & Throat centre. They’re highly experienced in using microscopic techniques to relieve blockages, ease irritation, and help restore your comfort and clarity of hearing.
Paediatrics
We offer appointments to paediatric patients aged 0+. For full information on our paediatrics service, please visit our main Paediatrics page.
More information
Microscopic examination and microsuction is carried out during an outpatient appointment, and doesn’t require any anaesthetic or sedation.
Your consultant will begin by looking in your ear with a microscope, and will assess any wax, discharge or skin build-up. If necessary, they'll guide a suction tool into the ear to remove any blockage. They may also use small instruments to lift or loosen dry material.
Once the ear canal is clear, your specialist will check the eardrum and surrounding tissues to ensure they’re healthy.
The procedure typically lasts only a few minutes, depending on how much wax or debris needs to be removed. Most people find the process slightly noisy, but not painful. Occasionally, patients feel dizziness during or just after the procedure, which is usually short-lived.
Microsuction is considered safer than syringing or other ear-cleaning methods because it’s performed under direct vision. However, like all procedures, it carries some risks.
Possible risks include:
mild discomfort, especially if the ear canal is inflamed
brief dizziness during, or after, the procedure
small scratches inside the ear canal
slight bleeding if the skin is dry or fragile
temporary sensitivity or tenderness in the ear
very small risk of infection
These symptoms usually settle within a few days, and serious complications are extremely rare.
Your specialist may recommend using softening drops for a few days before your appointment, especially if the wax is firm or dry. This helps loosen the material and can make removal easier and more comfortable.
In many cases, no special preparation is needed. You can eat, drink and take your usual medication as normal unless your specialist advises otherwise.
Most people feel comfortable immediately after microsuction, and any dizziness typically settles within minutes. After the procedure, you can go home straight away and carry on with your usual activities.
You may notice some mild sensitivity, humming, or a slightly open feeling in the ear for a short time. These sensations usually pass quickly. Very occasionally, there may be some bleeding from the ear canal after the procedure if the skin is scratched by the removal of a dry crust.
If your ear canal was irritated before the procedure, you may be given ear drops or advice on how to keep the area clean while it heals.
Your consultant will let you know whether a follow-up appointment is needed. This depends on the underlying reason for your treatment and whether further care is recommended.
Please contact our Ear, Nose & Throat centre for pricing information.
At Welbeck, our ENT consultants are experts in their field and are dedicated to providing world-class care to every patient.
With access to colleagues across other specialties, our consultants are also able to refer within the Welbeck ecosystem if required to ensure you receive the treatment you need as quickly as possible, all under one roof.
All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.
If you’d like to schedule a consultation with an ENT specialist, please get in touch to make an appointment. Your health is important to us, so we strive to offer same-day appointments whenever possible.
Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.
Our specialists
Mr Jahangir AhmedConsultant ENT Surgeon
Miss Nora HaloobConsultant ENT Surgeon
Mr Chadwan Al YaghchiConsultant ENT Surgeon
Mr Khalid GhufoorConsultant ENT Surgeon
Professor Alwyn D'SouzaConsultant ENT / Facial Plastic & Reconstructive Surgeon
Mr Wayne EllisClinical Scientist in Audiology
Miss Alison CarterConsultant Paediatric ENT Surgeon
Mr Colin ButlerConsultant ENT Surgeon
Dr Raghav DwivediConsultant ENT, Head, Neck & Thyroid Surgeon
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Frequently asked questions
Yes. Microsuction is often the safest way to clear an infected ear because it removes discharge without adding water, which could make symptoms worse. Your specialist will assess the infection and treat it alongside the procedure, if needed.
Some people only need microsuction occasionally, while others produce wax more quickly and benefit from more regular treatment. Your consultant will advise you based on your symptoms and how your ears behave over time.
If your tinnitus is linked to a blocked ear canal, removing the wax can sometimes make a noticeable difference. Your consultant will assess whether microsuction is likely to help based on your individual symptoms.
You should avoid using cotton buds or home ear-cleaning devices, as these can push wax deeper, scratch the ear canal, or damage the eardrum. If your specialist advises it, you may use softening drops from a pharmacy to help loosen wax, but this isn’t suitable for everyone — especially if you have ear pain, discharge, or a history of eardrum problems. If you’re unsure, it’s best to ask an ENT specialist before trying anything at home.