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Triage Audiologist and Earwax Removal Alsoka Medical

General Practitioner

Earwax removal by irrigation or syringing is the old-fashioned method of cleaning ears and removing earwax.

Spraying out ears has several disadvantages over dry ear canal cleaning with microsuction and curettage. At the core, you don’t want to introduce unnecessary water into the ear and certainly don’t want to inject pressure into the narrow ear canal.

Spraying is riskier, applicable in fewer ear canal types, less effective (especially with hard earwax and earwax that blocks the entire ear canal), can lead to subsequent complications (especially infections) and is often perceived as unpleasant.

Spraying out is a method that has long been replaced by microsuction or suctioning out by the ENT doctor in the hospital. This is less risky, widely applicable, less hassle, faster and more pleasant for the patient.

In our practice, we do between 2 and 10 ear wax removals per week. At the end of 2025, we switched from spraying to suctioning with equipment and training from Alsoka Medical. We now exclusively vacuum out ears. The treatment itself takes us about 10 minutes. We now have excellent visibility with the Vorotek O Scope and have both hands free to act. Even deep earwax and narrow ear canals can now be treated very well directly with suctioning out under direct vision. And afterwards, we can assess the eardrum excellently without using the otoscope. Patients are very satisfied with the treatment. They find it a less stressful treatment than blowing out. No pressurized water is injected into the ear, making it a less sensitive and more pleasant experience.
Oorsmeer verwijderen met de Vorotek O Scope door KNO-arts dr Jan Rombout
GP from Heemskerk, Netherlands

Recent innovation puts safe extraction of ears at GP's fingertips

To enable suctioning, the ENT doctor has at his disposal the large fixed surgical microscope and a microsuction pump integrated into a special unit.

This large investment is obviously not feasible for you as a general practitioner and has kept you from making the move to dry cleaning ears until now.

Moreover, working with the microscope used by the ENT doctor requires a lot of practice and experience. This is because it has a small focal point and therefore keeping the image sharp and in focus is very difficult, especially with movements of patient or practitioner.

In practice, this raises a high barrier both financially and practically to embark on extraction.

Fortunately, there is now a solution.

Alsoka Medical's fixed surgery microscope and Vorotek O Scope head-mounted microscope in one photo
I have recently invested in the ability as a family physician to offer both syringing and suctioning to my patients. The other day I was making a home visit to a patient with dementia and, for the first time, I suctioned and was able to remove the earwax as a single plug. While suctioning didn't save me time as a family physician, it was much more efficient for the other caregivers: after all, they didn't have to start dripping days in advance.
Oorsmeer verwijderen met de Vorotek O Scope door KNO-arts dr Jan Rombout
GP from Purmerend, Netherlands

The head-borne microscope lets you get started right away at a small investment

Dry Ear Canal Cleaning Course for the ENT Doctor's Assistant from Alsoka Medical

Recently, however, a technological innovation has made it possible to switch to ear suctioning for a small investment anyway.

The key is the Vorotek O Scope recently introduced in Europe. This head-borne microscope allows both eyes to view the entire ear canal in 3D with slight magnification.

Working with the Vorotek O Scope is very intuitive and simple and therefore low-threshold. It requires virtually no experience or practice. You set it up and you’re good to go. That’s because the O Scope has a large focus/depth area so you can still stay in focus during small patient movements.

Combine the Vorotek O Scope with our specially tailored microsuction pump and you can get started right after our training.

Thus, earwax and ear plug removal the dry way is now within reach for your general practice as well.

Our accredited training is taught by ENT doctors and has been further refined in recent years

We offer the employees who will be doing it the Dry Ear Cleaning Course for Audiologists and Physician Assistants. During this course, they learn how to work safely so they can then go into practice with confidence.

These trainings are conducted by our affiliated ENT doctors. Each participant is given access to a our e-learning environment 2 weeks in advance to thoroughly familiarize themselves with the anatomy and pathology of the ear in preparation.

Afterwards, there is the opportunity to stay in touch with our ENT doctors through our EarcareDossier, an electronic patient record with chat function.

And each participant can join the Whatasapp Intervision Group Dry Ear Canal Cleaning afterward. The purpose of this is to share knowledge and learn from each other. Our ENT doctors themselves also participate in this group.

In the Netherlands, our training course “Dry Ear Cleaning for the Doctor’s Assistant” is accredited by KABIZ-DA and the NVDA with 41.5 points.

Training Dry Ear Canal Cleaning for Audiologists and Physician Assistants given by Alsoka Medical

Getting started safely with our proven approach

Our approach has come over from Australia where suctioning with the Vorotek O Scope is now used by most general practitioners.

For the past two years, we have been testing and refining this method in the Netherlands with ENT doctors’ assistants and Triage Audiologists.

With us, you’ll find everything under one roof to get started with extraction safely and with confidence.

Click through below to our offerings that fit your specialty:

Vorotek O Scope HeadBand

O Scope

The Vototek O Scope is a unique head-borne binocular microscope that allows you to look and act with 3D deep into narrow canals such as nose and ear.

Medical microsuction device for earwax removal

Microsuction Pumps

Microsuction pumps to clean ears from earwax and foreign objects under vacuum.
Dry Ear Cleaning Training for Physician and Physician's Assistant

Extended e-Learning Module Ear Anatomy, Physiology, Pathology & Introduction to Working Safely in the Ear canal

KABIZ-DA accredited with 35 points

Training Dry Ear Canal Cleaning given by ENT physician Jan Rombout and facilitated by Alsoka Medical

Theory and Practice of Earwax Removal by Microsuction combined in one day within your own hospital environment

KABIZ-DA accredited with 6.5 points

Ear drops based on a special blend of oils, thyme and oregano to soften hard earwax

Ear Care Products

Here you will find ear care products such as ear drops based on specially selected oils, thyme and oregano to soften earwax

Vorotek Power Pack

Accessories

Click through to all accessories and parts for Vorotek Optical Aids and Microsuction Pumps here

Disposable micro ear suction tubes, non-sterile, for dry ear canal cleaning with microsuction

Instruments & Disposables

Everything needed to clean and remove cerumen from ears with microsuction and curettage.

The Vorotek M Scope widescreen magnifier

M Scope

The Vorotek M Scope is specially designed for medical specialists who want a good overview with slight magnification of the area to be treated.

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