How microsuction works
The practitioner looks into the ear, commonly with magnification or video otoscopy, and uses a fine suction device to remove wax. You may hear suction noise and should tell the practitioner if anything is uncomfortable.
Clinics often promote microsuction because it avoids water, is carried out under direct vision and can be quick. That does not make it automatically suitable for every person.
How electronic irrigation works
An electronic irrigator uses controlled water flow to clear softened wax. NICE distinguishes electronic irrigation from old-style manual syringing, which it says should not be offered to adults.
NICE recommends wax softeners immediately before or for up to five days beforehand when irrigation is carried out. The practitioner should check for contraindications first.
What your practitioner needs to know
Tell the clinic about previous ear surgery, a known or possible perforated eardrum, recent infection or discharge, significant pain, dizziness, tinnitus changes or sudden hearing loss. A directory filter cannot decide clinical suitability.
- Ask who will perform the procedure and what training they hold
- Ask which method they use and why it may suit you
- Check what wax-softening preparation they advise
- Confirm what happens if they find no wax or another concern
Common questions
Frequently asked questions
Is microsuction always better than irrigation?
No single method is best for everyone. Suitability depends on clinical assessment, contraindications, the wax and your ear history.
Is ear syringing the same as irrigation?
Old-style manual syringing and controlled electronic irrigation are not the same. NICE says adults should not be offered manual syringing and sets conditions for electronic irrigation.
Do I need olive oil before microsuction?
Preparation policies vary. Some services advise wax-softening spray or drops beforehand because softer wax may be more comfortable to remove. Follow the clinic's instructions and ask a pharmacist or clinician if drops may be unsuitable for you.
Sources and review note
This page is general information, not personal medical advice. We prioritise NHS, NICE and relevant official-register sources.