Portcullis Surgery

Portcullis Surgery

Portcullis Lane, Ludlow, SY8 1GT

Current time is 11:34 - We're open

NHS

Telephone: 01584 872 939

Fax: 01584 879 031

portcullis.surgery@nhs.net

Nurse Clinic: Microsuction Ear cleaning and Healthcare Assistant Clinics: Ear Irrigation

Microsuction Ear Cleaning and Ear Irrigation clinics

 

MICROSUCTION EAR CLEANING

EAR IRRIGATION

Portcullis Surgery is committed to providing best practice, high-quality medical care. Most ear wax build up will improve with olive oil treatment alone.

Your pharmacist can help with earwax build-up. They can give advice and suggest the treatment.

Our MICROSUCTION EAR CLEANING AND EAR IRRIGATION  CLINICS: all patients will need to book an initial telephone call with our nurses first so we can discuss your need for microsuction or ear irrigation with you and discuss possible alternative treatments.

They will decide if you need to be seen to have a look inside your ears to check if they are blocked and might carry out some simple hearing tests before booking you in for an appointment to have your ears irrigated.

Microsuction: Usually micro suction does not need pre-treatment with drops but two days of Earol (clinically treated olive oil) is the best preparation.

Ear Irrigation: You will be asked to use olive oil or use and ear wax bulb syringe for 1-2 weeks if you have not done so already and given this useful leaflet with information that you can download on the link below:

Portcullis ear wax P-I-L

Waiting times for Microsuction and ear irrigation:

Please remember that in most other areas and practices this is a private service and the NHS does not fund Microsuction for any patients at all and ear irrigation is normally restricted to patients who have an audiology appointment ONLY.

The partners decided to buy the equipment and pay for our nurses to be trained in this service out of practice funds and patient donations and we provide this free of charge to all our registered patients.

  • We will always prioritise all patients who have been referred for an audiology appointment for hearing loss and will usually ask for a copy of your letter with an audiology appointment.
  • Therefore if you do not have an audiology appointment you may have to wait some weeks for the next available microsuction or ear irrigation appointment or you may have to seek private treatment if our waiting times are too long for you.

Microsuction:

We give priority to patients who need ear syringing or microsuction prior to an audiology appointment or who have contraindications to microsuction. We do not repeat microsuction more frequently than every 3 months for any patient who does not have proof of an audiology appointment.

Ear syringing:

We give priority to patients who need ear syringing prior to an audiology appointment. We do not repeat ear irrigation more frequently than every 6 months for any patient who does not have proof of an audiology appointment.

Housebound patients:

We are sorry but we do not have the capacity to carry out housebound visits for ear irrigation or ear microsuction. Also we would be concerned about our equipment getting damaged during visits and do not have insurance for a home visiting service.

If you cannot possibly come in to the practice for this service then you will need to look in the internet for a private provider. 

MICROSUCTION

Usually micro suction does not need pre-treatment with drops but two days of Earol (clinically treated olive oil) is the best preparation. We will l examine your ear using a binaural microscope (either fixed or with loupes glasses) and, using a fine low-pressure suction device, safely remove the blockage.

Unlike ear syringing or ear irrigation, where ear wax is flushed out without a view of the canal, during microsuction, the canal and the ear wax is being directly viewed with the microscope whilst it is being removed. This makes the procedure much quicker, safer and comfortable for the patient. Microsuction removal treatment is a far more gentle procedure than other types of ear wax removal. It is also suitable for patients who are about to fly, are already hearing aid users, have previous ear drum damage or have impacted ear wax.

We give priority to patients who need ear syringing or microsuction prior to an audiology appointment or who have contraindications to microsuction. We do not repeat microsuction more frequently than every 3 months for any patient who does not have proof of an audiology appointment.

Private Microsuction as an alternative

If you feel you need urgent treatment and cannot wait, we suggest you contact a private provider in the area

EAR IRRIGATION

Potential Side Effects of Ear Irrigation you should be aware of before booking to have this procedure

Ear Irrigation can lead to

  • ear infections,
  • perforated ear drum and
  • tinnitus (persistent noise).
  • Irrigation should NOT be carried out in patients:
    • who are due to travel within the next 2 weeks on an airplane
    • have previously experienced complications following this procedure in the past
    • have a history of a middle ear infection in the last six weeks
    • have undergone ANY form of ear surgery (apart from grommets that have extruded at least 18 months previously and it is documented subsequently that the tympanic membrane is intact)
    • have an ear perforation
    • have a history of a mucous discharge in the past 12 months
    • have evidence of acute otitis externa with pain and tenderness of the pinna

We give priority to patients who need ear syringing or microsuction prior to an audiology appointment. We do not repeat ear irrigation more frequently than every 6 months for any patient who does not have proof of an audiology appointment.

 

 

Opening Times

  • Monday
    08:30 until 20:00
    6-8pm Pre-booked appointments only.Call 111 for advice OOH
  • Tuesday
    08:30 until 20:00
    6-8pm Pre-booked appointments only.Call 111 for advice OOH
  • Wednesday
    08:30 until 20:00
    6-8pm Pre-booked appointments only.Call 111 for advice OOH
  • Thursday
    08:30 until 18:30
    Call 111 for advice OOH
  • Friday
    08:30 until 20:30
    Open 1-2 Fridays a month. 6-8pm Pre-booked appointments only.Call 111 for advice OOH
  • Saturday
    08:30 until 12:30
    Open 1-2 Sat per month Pre-booked appointments only. Call 111 for advice OOH
  • Sunday
    CLOSED
    Call 111 for advice OOH