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In this section : Ear, Nose and Throat

Management of Epistaxis Sore Throat Differential Diagnosis Dizziness Differential Diagnosis Peritonsillar Abscess/Quinsy Acute Tonsillitis Acute Mastoiditis Otitis Media Otitis Externa WoS Paediatric Drooling and Aspiration Guideline Voice clinic Ear Wax Admitting Patients with Tracheostomy/Laryngectomy to DGRI Emergency Laryngectomy Management Emergency Tracheostomy Management Safe Transfer of Patients with Tracheostomy/Laryngectomy within DGRI Other Tracheostomy Documents

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Ear Wax

Last updated 12th October 2023

Management of symptomatic ear wax:

For many patients, the use of oil can be effective and no further action is required.

If oil is unsuccessful, irrigation in primary care should be carried out

Criteria for referral for microsuction for ear wax removal:

Two previous unsuccessful attempts at irrigation in primary care,
Persistent TM perforation or mastoid cavity,
Significant inflammation, i.e. otitis externa, or patient having had a previous significant negative experience of irrigation (needs to be severe impact on patient, not just the preference of pt).
A history of a previous perforation is not in itself a contraindication to irrigation