Precision Instrument Technique

Manual removal involves using specialized instruments under direct visualization to carefully extract ear wax. This method is particularly useful for certain types of wax or specific ear canal configurations.

How Manual Removal Works:
 

- The ear canal is examined using a light source and magnification

- Specialized 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 visualization

- 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.