Microsuction of earwax and secretions

Microsuction of earwax and secretions is a precise method for removing stubborn plugs and residual fluid that can cause blockage, reduced hearing, or discomfort. At Dr Prlja Medical in Belgrade, we use modern equipment and gentle vacuum technology, with an approach tailored to each patient – from children to those with sensitive ears or specific medical conditions. Whether the problem has lasted for days or months, timely microsuction can quickly restore comfort and hearing quality. Don’t wait for symptoms to worsen – book your microsuction appointment at our clinic and ensure safe, professional ear care.

What microsuction involves

Ear microsuction is a medical procedure where a vacuum designed for the ear canal is used to remove accumulated material from the outer ear canal. Your doctor may recommend it during an ENT examination when it’s necessary to remove softer secretions remaining after an infection, as well as harder or deeper earwax plugs.

Microsuction is also suitable for those with sensitive ears, a history of eardrum perforation, or specific medical conditions, as it allows targeted and controlled cleaning without unnecessary irritation of the ear canal. Our ENT team performs this procedure with great care, focusing on each patient’s comfort and safety.

When is microsuction of earwax and secretions recommended?

Ear microsuction is recommended when other methods for removing earwax do not provide the desired results or are not safe enough.

• It is often performed after ear inflammation treatment, when thick or sticky secretions remain in the ear canal, affecting hearing and causing discomfort.
• It is also useful for stubborn or deeply lodged earwax plugs that are not suitable for standard cerumen removal proedures, especially in patients with a history of ear problems.
• When symptoms such as a feeling of ear pressure, muffled hearing, or ringing do not improve after standard cleaning, microsuction may be the next step.
• For people prone to frequent earwax or secretion buildup, this treatment can also be done periodically, in consultation with an ENT specialist, to prevent blockages and maintain hearing.

Advantages of microsuction over other methods

Microsuction offers high precision and control, as the doctor can directly monitor and guide the removal of material from the canal during the procedure. Unlike irrigation, no liquid is introduced into the ear, so there is no risk of water retention or increased pressure in the canal. This is why it is recommended for sensitive patients and those with a history of eardrum injury or ear infections. This “dry” approach is often better tolerated by people with increased sensitivity, as it reduces irritation and post-procedure discomfort.

If you choose professional removal of earwax and secretions by microsuction, the risk of eardrum injury is lower compared to unskilled irrigation or the use of cotton swabs. Our team performs the procedure carefully, precisely, and under constant visual control, so you can resolve discomfort quickly and safely.

How is the procedure performed?

Before starting microsuction, the doctor conducts a brief consultation to gather information about your symptoms and any previous ear problems. This is followed by a visual assessment of the ear canal and eardrum using an otoscope, or, if needed, a microscopic ear examination. This initial check allows the selection of the safest approach. Based on the canal’s width and the type of material present, the appropriate vacuum tip shape and size are chosen. In some cases, the doctor may recommend softening the earwax for several days before your visit. The best ways to soften earwax before microsuction include:

• Special oil-based preparations from the pharmacy
• Glycerol-based drops
• Saline solution

This makes the removal of earwax and secretions by microsuction easier and shortens the procedure time.

The process is carried out gradually, removing the material piece by piece. The doctor positions the tip close to the earwax or secretion, and gentle suction detaches it from the canal skin and draws it out. If the material is dry or hard, it can be softened first with a suitable solution. During the procedure, you may hear a soft sound from the device and feel a slight “pulling” sensation, without pain.

The duration of the procedure depends on the amount and consistency of the material, usually between 3 and 10 minutes. For children and patients with increased sensitivity, smaller tips and lower suction levels are used, and the work is done in shorter stages. After completing microsuction, the doctor checks the canal’s openness and gives advice for further ear care or follow-up.

Aftercare recommendations

After microsuction, it is advised to avoid water entering the ear for the first few hours and to carefully dry the outer ear after showering. Mild discomfort or a feeling of dryness may be normal and temporary. Short-term reactions are also possible and are usually mild and pass quickly.

• Some patients report mild vertigo caused by a change in pressure in the ear canal.
• Temporary ringing in the ear or a “popping” sensation may occur within a few hours.
• In cases of more sensitive ear canal skin, mild irritation or redness may sometimes appear.
• In rare cases, there is a risk of a local ear infection, so it is important to follow the doctor’s advice and seek help if symptoms persist.

A follow-up ENT ear examination is necessary if:

• Symptoms persist for more than a few days
• Ear pain appears
• There is increased secretion
• Blockage occurs again

For patients with frequent earwax or secretion buildup, regular ENT check-ups at intervals determined by the doctor are recommended. Additionally, avoiding cotton swabs or other objects for ear cleaning at home is a good idea. Our team approaches each recommendation individually, ensuring preventive measures are suited to your hearing and health.

Why choose Dr Prlja Medical

At Dr Prlja Medical in Belgrade, every patient receives attention and a tailored approach. Our team has experience with complex cases and sensitive patients. Procedures such as microsuction of earwax and secretions are performed precisely, safely, and in a comfortable, calm environment. We pay special attention to adapting the method to make the treatment as pleasant and effective as possible. If you want a professional solution to preserve your hearing and ear health, don’t delay – book your appointment now and trust the safe hands of our team.