Three key success factors for Ear Wax Removal with Dr Jan Rombout ENT
Ear Wax Removal: Clinical Insights with Dr Jan Rombout, Episode 1
In Episode 1 of Ear Wax Removal: Clinical Insights, ENT Surgeon Dr Jan Rombout discusses his three fundamental principles that help clinicians work safely, effectively and with greater control.
1. Direct binocular vision
Maintaining direct binocular vision throughout the procedure provides depth perception, allowing the clinician to accurately judge the position of instruments or the microsuction tube within the ear canal.
This continuous three-dimensional visualisation helps the clinician understand where the instrument is in relation to the canal wall, wax, sensitive anatomy and the tympanic membrane.
2. Straighten the ear canal
Straightening the ear canal is another important consideration. Gently pulling the pinna upwards and backwards can help straighten the canal and allows gentle insertion of the largest suitable speculum to provide greater access and a clearer working pathway.
3. Anchor to the client
A secure but relaxed anchor provides greater instrument control and thus safer treatment. By maintaining contact with the patient, the clinician’s hand can move with them rather than independently of them, helping reduce unwanted movement within the ear canal and the risk of injury.

More clinical insights from Dr Jan Rombout are available in the upcoming episodes of this series.
In the meantime you can follow these links for more information in relation to Direct Binocular Vision and Microsuction for cerumen management.