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Ear Canal Suction
Aka: Ear Canal Suction, Ear Suction, Cerumen Removal by Suction
- Indications
- Cerumen Impaction with soft or semi-fluid cerumen
- Otorrhea
- Interfering with examination
- Ear toilet in Acute Otitis Externa management
- Contraindications
- Previous radical mastoid surgery
- Tympanostomy Tubes
- Tympanic Membrane Perforation
- Precautions
- Ear Canal Suctioning is not recommended by non-otolaryngologists
- The potential for middle ear injury, including ossicle disruption limits safe use by non-otolaryngologists
- Equipment
- Suction through otoscope head for visualization
- Suction tips
- Blunt tipped 14 gauge angiocatheter
- Frazier malleable suction tip (5 to 7 French)
- Wall suction (or portable) at 10 cm H2O
- Technique
- Avoid excessive suctioning
- Caloric stimulation may lead to Vertigo
- Suctioning terminated by compressing tubing