Ear Wax Removal in Singapore

Ear wax removal is a medical procedure that extracts excessive or impacted cerumen (ear wax) from the ear canal.

This procedure restores proper hearing function and alleviates symptoms associated with ear wax build-up. Depending on the extent and location of the blockage, different techniques are used, such as irrigation, suction, or manual removal with specialised instruments.

doctor img
Dr Gan Eng Cern

MBBS

MRCS (Edin)

mmed (orl)

FAMS

Microsuction Ear Wax Removal Singapore Microsuction Ear Wax Removal Singapore
Microsuction Ear Wax Removal Singapore Microsuction Ear Wax Removal Singapore

Indications for Ear Wax Removal

The following signs and symptoms can help determine when professional ear wax removal is necessary.

  • Hearing Loss or Muffled Sounds: Excessive ear wax can block sound waves from reaching the eardrum, causing temporary hearing impairment.
  • Ear Pain or Discomfort: Impacted ear wax can create pressure against the ear canal and eardrum, leading to pain or a sensation of fullness in the ear.
  • Tinnitus: A build-up of ear wax can cause or intensify ringing, buzzing, or other noises in the ears.
  • Failed Self-Cleaning Attempts: Previous unsuccessful attempts to remove ear wax at home may lead to further impaction.
  • Recurring Ear Infections: Trapped moisture behind wax build-up can create conditions conducive to bacterial growth.
  • Visual Confirmation: Medical examination reveals significant wax accumulation blocking the view of the eardrum.

Benefits of Ear Wax Removal

The procedure offers several advantages for patients experiencing cerumen impaction. These include:

  • Restored Hearing: Removal of blockages allows sound waves to reach the eardrum properly, improving hearing capability.
  • Reduced Risk of Infection: Clearing excess wax eliminates environments where bacteria may thrive and removes potential sources of infection.
  • Prevention of Complications: Professional removal helps avoid complications that can occur from improper self-cleaning attempts.
  • Ear Canal Assessment: The procedure allows ENT doctors to examine the ear canal and eardrum for other conditions.
  • Long-term Relief: Professional removal techniques thoroughly clean the ear canal, providing longer-lasting results than home remedies.

Ear Wax Removal Methods

The choice of ear wax removal method depends on factors such as the wax’s consistency, its location, and individual needs.

Microsuction: This method uses a small vacuum device to remove ear wax under microscopic visualisation. The procedure allows accurate targeting of wax deposits without introducing water into the ear canal. Doctors can monitor the process in real-time through magnified views, ensuring thorough removal.

Manual Removal: This technique involves using specialised tools like curettes or forceps to physically extract ear wax. The doctor directly visualises the ear canal using appropriate lighting and magnification. Manual removal is suitable for hard or impacted wax that may be difficult to remove through other methods.

Irrigation: This method uses controlled pressurised water to flush out ear wax. The doctor directs a steady stream of water at body temperature into the ear canal, which flows behind the wax and pushes it outward. This technique suits softer wax accumulations and requires careful pressure control to prevent complications.

Medical professional examining patient's ear Medical professional examining patient's ear

Preparing for the Procedure

  • Medical Evaluation: The doctor examines the ear canal using an otoscope to assess the extent of wax build-up and ear canal condition at our clinic. This evaluation includes checking for signs of infection, perforation, or other contraindications to specific removal techniques.
  • Medical History Review: Patients discuss their ear-related symptoms, previous ear surgeries, and any current medications. The doctor also checks for conditions like diabetes or immune system disorders that may affect the procedure approach.
  • Ear Wax Softening: Some patients may need to use ear drops for several days before the procedure. These drops help soften hard or impacted wax, making removal easier and more comfortable.

Step-by-Step Procedure

Patient Positioning

The patient sits in a position that allows clear access to the ear canal. The head may be tilted slightly to optimise visualisation and access to the affected ear.

Canal Examination

The doctor examines the ear canal using appropriate lighting and magnification to determine the exact location and nature of the wax blockage.

Removal Process

Using the chosen technique, the doctor carefully removes the wax in sections. This process may take 15-30 minutes per ear, depending on the amount and consistency of the wax.

Final Inspection

After removal, the ear canal is thoroughly examined to ensure complete clearance and check for any signs of irritation or injury.

Post-Procedure Care and Recovery

  • Immediate Aftercare: Patients may experience temporary sensitivity to sounds or slight dampness in the ear canal. These sensations typically resolve within a few hours.
  • Activity Restrictions: Swimming and water exposure should be avoided for 24-48 hours after the procedure. Patients should also avoid inserting any objects into the ear canal.
  • Follow-up Care: Regular check-ups help monitor ear wax production patterns and prevent future impaction. The frequency of follow-up visits varies based on individual wax production rates.

Are Your Symptoms Affecting Your Quality of Life?

Consult our MOH-accredited specialist for an accurate diagnosis & personalised treatment plan today.

human head showing sinus structure

Potential Risks and Complications

While ear wax removal is generally safe, potential complications include temporary dizziness, tinnitus, or ear canal irritation. In rare cases, the procedure may cause minor scratches to the ear canal or temporary hearing changes. Extremely rare complications include eardrum perforation, particularly if inappropriate pressure is used during irrigation. Infection risks remain minimal when performed by qualified medical professionals under sterile conditions.

For Singaporeans & Singapore Permanent Residents

Medisave & Insurance Shield Plan approved

Your ENT procedure may be eligible for Medisave claims, with the claimable amount varying based on the procedure’s complexity. For additional options, including the use of your insurance or Integrated Shield Plan, reach out to our friendly clinic staff today for assistance.

Frequently Asked Questions (FAQ)

Will the procedure hurt?

Most patients experience minimal discomfort during ear wax removal. Microsuction may cause brief, mild noise sensitivity, while irrigation creates a temporary sensation of water movement. Any discomfort typically subsides immediately after the procedure.

How often should I have professional ear wax removal?

The frequency depends on individual wax production rates. Some people need removal every 3-6 months, while others may only require annual visits. Regular check-ups help determine the optimal schedule for each person.

Can I clean my ears at home between professional removals?

External ear cleaning with a soft cloth is safe. However, inserting cotton swabs or other objects into the ear canal risks pushing wax deeper or causing injury. Over-the-counter ear drops can help maintain ear hygiene when used as directed.

Dr. Gan picture

Dr Gan Eng Cern

MBBS

MRCS (Edin)

mmed (orl)

FAMS

With over 15 years of experience, Dr Gan specialises in the comprehensive management of a broad range of conditions related to the ear, nose and throat (ENT), and head and neck.

Dr. Gan has contributed to the academic field as a Senior Clinical Lecturer at the Yong Loo Lin School of Medicine, National University of Singapore. He is recognised for his extensive research work, with numerous contributions to reputable international ENT journals. Dr Gan is also highly sought after as a speaker and has shared his surgical knowledge as a surgical dissection teacher at various prominent ENT conferences and courses.

  • 2020 – Reader’s Choice Gold Award for Best ENT Specialist (Expat Living Singapore)
  • 2016 – Best Educator Award (Eastern Health Alliance)
  • 2016 – “Wow” Award (Patient Compliment)
  • 2014 – Eastern Health Alliance Caring Award – Silver
  • 2014 – 19th Yahya Cohen Memorial Lectureship (awarded by the College of Surgeons, Academy of Medicine Singapore for best scientific surgical paper)
  • 2012 – Human Manpower Development Award (Ministry of Health, Singapore)
  • 2007 – Singhealth Best Doctor Award

Qualifications

  • MBBS – Bachelor of Science, Bachelor of Medicine, Bachelor of Surgery (University of New South Wales, Sydney, Australia)
  • MRCS (Edin) – Member of the Royal College of Surgeons Edinburgh, United Kingdom
  • MMed (ORL) – Master of Medicine in ENT (National University of Singapore)
  • FAMS – Fellow of the Academy of Medicine Singapore
our singapore ent specialist performing a procedure

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    Our Location

    A Specialist Clinic for Sinus, Snoring & ENT

    38 Irrawaddy Road #08-45
    Mount Elizabeth Novena Hospital
    Singapore 329563

    Mon – Fri: 9:00 am – 5:00 pm
    Sat: 8:30 am – 12:00 pm