Thursday, 21 February 2019

Best Clinic For Ear Wax Removal London

Best Clinic For Ear Wax Removal London


In my work as a consultant ear specialist, I often am asked "Where is the best clinic to get ear wax removal london?" As an assessor for the ear wax removal professional body, I have had to visit many ear wax removal specialists in many ear wax removal clinics in and around London.


What makes a good ear wax removal clinic?

There are several criteria by which I judge an ear wax removal clinic. They are:
  • Cleanliness
  • Equipment
  • Skill
  • Bedside Manner

Cleanliness:

The clinic must be clean. While the outer ear is bacteriostatic, and we can't expect a perfectly sterile environment unless we are in an operating theatre, the clinic should be clean, and nowadays we would expect to see sterile, single use suction tubes being used.

Equipment:

There is a great variation amongst clinics as to the type and standard of equipment being used. For the suction unit, it should be medical grade and CE marked. As there is a great variety of CE marked medical suction units available, any clinic not using one is really not deserving of the title "Best Clinic For Ear Wax Removal In London"

Of even greater importance is the equipment used for looking inside the ear - because the ear canal is very narrow, and can be as small as 3 millimetres across, some ind of convergent optics are essential to allow the practitioner to have 3D depth perception while operating close to the ear drum. 

Many clinics use cheap loupes, which are basically magnifiers that sit in front of each eye, but considering that the average distance between the left and right pupils for women is 62 millimetres and for men around 64 millimetres, there is no way that someone wearing cheap loupes can have any degree of depth perception beyond the entrance of the ear canal.

An Ear, Nose and Throat (ENT) microscope can be very awkward to use, as the patient's ear, the microscope, and the practitioner have to be exactly aligned, meaning that each time the patient moves, the practitioner will have to realign the microscope and themselves. Much easier and more efficient are the portable ENT microscopes which are worn on the ear wax removal practitioner's head. In this case, wherever the microsuction practitioner looks is magnified, lit up and in 3D.

Skill:

Many members of the public, and even many Audiologists, think that microsuction is the be all and end all when it comes to ear wax removal. However, microsuction cannot remove ear wax in every single situation, particularly when the ear wax is dry and stuck to the wall of the ear canal, or when the patient is very sensitive to noise. In these cases, the ear wax should be removed using manual instruments such as the Jobson Horne probe curette, cerumen hook, Rosen hook, and Hartmann alligator forceps (named after German physician Arthur Hartmann).

Bedside Manner:

Both manual instrument ear wax removal and microsuction ear wax removal are moderately invasive surgical procedures that are typically carried out without the need for anaesthetic, so the practitioner needs to have a good bedside manner to put patients at their ease. Especially with a nervous patient, a kind, patient practitioner who explains the procedure and answers questions in a kind, respectful and empathetic way can put patients at their ease and make the procedure go smoothly.

And the winner is...

I was very happy to meet Jason, Mary, Breda and Raspal of microsuction ear wax removal London. Each one of them is dedicated to safe, painless ear wax removal and they are very friendly. Not only that, they are good at what they do and are all experienced in using microsuction and manual instruments.

The clinic is spotless, and they use single use, sterile ENT-grade suction tubes. In addition, they use ENT-grade suction units and portable ENT microscopes, meaning that their equipment is of the top spec.

Even better than that, the clinic is just a minute from the entrance of Baker Street station, right in the heart of London.

You can find the clinic here:


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