Precision Instrument Technique

Manual removal involves using specialised instruments to remove wax under direct visualisation. 

How Manual Removal Works:
 
- The ear canal is examined using a light source and magnification
- Specialised sterile instruments (such as Jobson Horne probes, wax hooks, or forceps) are selected based on the wax location and consistency
- The instrument is carefully inserted into the ear canal under direct visualisation
- Wax is gently loosened, broken up, or hooked and removed
- The process is repeated until the ear canal is clear

Benefits of Manual Removal:

- No water or suction: Good alternative when other methods aren't suitable
- Precise technique: Allows for targeted removal of specific wax pieces
- Effective for hard wax: Can remove very firm or impacted wax

When Manual Removal Is Most Appropriate:
 
Manual removal is particularly useful in certain situations:
 
- When wax is very hard or impacted
- For removing foreign bodies alongside wax
- When a patient cannot tolerate micro-suction or irrigation

Our nurses are highly skilled in manual techniques and use them either as a primary method or in combination with other approaches as needed.