II. Indications

  1. Cerumen Impaction with soft or semi-fluid cerumen
  2. Otorrhea
    1. Interfering with examination
    2. Ear toilet in Acute Otitis Externa management

III. Contraindications

  1. Previous radical mastoid surgery
  2. Tympanostomy Tubes
  3. Tympanic Membrane Perforation

IV. Equipment

  1. Suction through otoscope head for visualization
  2. Suction tips
    1. Blunt tipped 14 gauge angiocatheter
    2. Frazier malleable suction tip (5 to 7 French)
  3. Wall suction (or portable) at 10 cm H2O

V. Technique

  1. Avoid excessive suctioning
    1. Caloric stimulation may lead to Vertigo
  2. Suctioning terminated by compressing tubing

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