Microsuction and ear toilet under a microscope

Microsuction and ear toilet under a microscope is a safe and precise way to address ear problems. Blocked ears, hearing loss, ringing, or pain are just some symptoms that can greatly affect daily life. Attempts at self-cleaning are often ineffective and may even worsen the condition. That is why seeking professional help on time is so important. At Dr Prlja Medical in Belgrade, patients receive modern treatment under the expert supervision of our team. If you have symptoms such as a blocked ear or discomfort, do not delay visiting a specialist. Schedule your appointment with us today to secure clear hearing and better ear health.

What you should know before booking an appointment

Microsuction and ear toilet under a microscope is a painless procedure performed at our ENT clinic in Belgrade. Using a microscope and fine suction instruments, accumulated earwax is carefully removed. Unlike home cleaning, which often involves cotton swabs or water irrigation, this method is far more precise.

The advantage lies in microscopic control of every movement—it reduces the risk of damaging the eardrum and causing dizziness. This method surpasses standard irrigation because it allows a detailed view of the canal, making the treatment safer and more effective. Alternatives such as manual cleaning or endoscopic use also exist, but they do not provide the same balance of precision and patient comfort.

When this procedure is needed

Disorders of the external ear canal have recognizable signs. If you notice them, act on time and see an ENT doctor.

• A feeling of blockage is most often caused by an earwax plug. Sound reaches the eardrum with difficulty, and cotton swabs usually push the problem deeper. A narrow canal or skin changes can worsen it. In the clinic, we remove the plug under a microscope, quickly and safely.
• Conductive hearing loss occurs when obstruction blocks the passage of sound. You may notice symptoms that may indicate hearing loss such as muffled hearing, autophony, and changing intensity while chewing. Once the blockage is removed, hearing usually improves immediately.
• Ear pain is common with canal skin inflammation or contact dermatitis. Accumulated wax increases friction and discomfort, especially after swimming or when using hearing aids. Careful cleaning reduces irritation and allows local therapy to work better.
• Persistent itching may accompany dry skin, eczema, or fungal deposits. Moisture and daily earphones keep the problem active. Mechanical removal of deposits and drying of the canal bring quick relief and prepare the skin for creams or drops.
• Ringing in the ears, known as tinnitus, becomes stronger when the canal is blocked (“occlusion effect”). Removing the plug often reduces the noise. If the cause comes from the middle or inner ear, further testing is required.
• A feeling of ears pressure can be caused by earwax, water, or skin swelling. Similar symptoms can also occur with Eustachian tube dysfunction, which requires a different approach. When the cause lies in the external canal, outpatient treatment resolves the problem quickly.

Preparation and examinations to do in advance

At home, extensive preparation is not necessary, but softening the earwax a day or two before your visit can help. Light oil or glycerin drops make the wax softer and easier to remove. Do not use drops if you have symptoms of eardrum injury, such as pain, bleeding, or discharge from the ear, as the presence of a perforation requires a different approach and a detailed ear examination before the procedure.

If you have an active infection—painful and red ear or yellow discharge—it is recommended to seek professional evaluation to diagnose ear inflammation before cleaning. Our team carefully assesses each case and ensures that every procedure is safe and comfortable for you.

What microsuction and ear toilet under a microscope looks like

The procedure takes place in the pleasant environment of our clinic at a convenient location in Belgrade. The ENT doctor observes the ear canal through a binocular microscope. The ear is constantly illuminated and clearly magnified, allowing precise and controlled work. If needed, a microscopic ear exam can also be performed to assess the condition of the canal and eardrum. We use fine suction cannulas connected to a vacuum, and when required, micro-curettes or forceps. The procedure is performed in a dry field, without water irrigation, which reduces the risk of irritation and dizziness.

The treatment itself usually takes a short time. Duration depends on the amount and type of buildup. You may feel slight discomfort from contact, but no pain. During the procedure, patients may notice:

• continuous “hissing” from suction
• mild pressure in the canal
• the sound of light instrument contact

Discomfort is less than with cold water irrigation. The dry technique does not change the ear’s temperature. If needed, we apply local drops to calm the skin. In most cases, one visit is enough for microsuction to achieve the desired results.

Risks and possible adverse reactions

Although microsuction and ear toilet under a microscope are generally very safe, as with any medical procedure, side effects can rarely occur.

• Mild irritation of the ear canal skin may appear—redness, dryness, or short-term discomfort after the procedure.
• Some patients may experience brief vertigo.
• Ear infection is extremely rare, but if it does occur, it is usually easily treated with local antiseptics or antibiotic derivatives.

Serious risks are uncommon because the procedure is performed by an ENT specialist under a microscope. The doctor clearly sees every movement and can react quickly to any damage or change in condition. If an adverse reaction does occur, our ENT team immediately assesses the situation and takes appropriate measures—ranging from consulting a specialist to applying local therapy. Your safety and comfort are our priority. If you notice any unusual symptom after the procedure, contact us without delay—we are always available to monitor you carefully.

After microsuction and ear toilet under a microscope, our goal is to keep you as comfortable and safe as possible. Once the treatment is finished, the doctor carefully examines the ear canal and the tympanic membrane. If everything looks normal, you only need to continue with moderate home care—no additional therapy is required. If the doctor notices changes (such as redness or swelling), you may be advised to use a mild local treatment (drops or cream).

If you had hearing problems before the treatment, or if your work and daily activities depend on clear hearing, we can schedule a hearing check and perform a test such as audiometry. This helps us measure the level of hearing recovery and prevent possible complications.

To reduce the risk of a new blockage, we recommend the following steps:

• avoid using cotton swabs—they often push wax deeper or irritate the canal,
• use a few drops of oil or cerumenolytic drops occasionally if prescribed by your doctor,
• keep the ear dry, especially after bathing or swimming,
• and, of course, come for a follow-up if you notice new symptoms—it is always better to prevent than to treat.

Our team responds with care and expertise, with the goal of protecting your ear health.

Microsuction and ear toilet under a microscope is a safe path to ENT health

Ear health directly affects your daily comfort and quality of life. When blockage, ringing, or pressure appear, the best option is a proven and safe method. Microsuction and ear toilet under a microscope allows precise earwax removal without pain or discomfort. The advantage of this procedure lies in constant control by the doctor, who clearly sees every detail and ensures maximum safety. At Dr Prlja Medical in Belgrade, we provide a gentle and careful approach to every patient, whether you are visiting for the first time or regularly maintaining your hearing. Our team combines expertise, experience, and modern equipment to provide you with safe treatment and long-lasting relief. Do not postpone resolving your symptoms. Contact us and secure your ear health today.