Capital Ear Care

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Capital Ear Care

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Services

Ear care consultation

Ear care consultation | £50

Audio-vestibular investigations

Ear care consultation | £50

This mini consultation includes:


  • A brief discussion of your current symptoms and a review of any relevant audiological or medical history
  • Advice on effective ear care and suitable ear care products
  • Clinical otoscopy to examine the health of your outer ear, ear canal and ear drum
  • Tympanometry to evaluate ear drum mobility and the health of you

This mini consultation includes:


  • A brief discussion of your current symptoms and a review of any relevant audiological or medical history
  • Advice on effective ear care and suitable ear care products
  • Clinical otoscopy to examine the health of your outer ear, ear canal and ear drum
  • Tympanometry to evaluate ear drum mobility and the health of your middle ear
  • Arrangement of further audiological diagnostics where appropriate
  • Onward referral to ENT or other specialists for further medical evaluation as appropriate.
  • A summary report of your ear health, with any further actions recommended

Wax microsuction

Wax microsuction | £70

Audio-vestibular investigations

Ear care consultation | £50

This procedure includes:


  • An ear care consultation
  • Wax removal by microsuction for one or both ears, as required

Audio-vestibular investigations

Audio-vestibular investigations

Audio-vestibular investigations

Audio-vestibular investigations

Make a booking

Useful information

A woman having balance problems

Signs of balance problems

Dizziness is one of the most common complaints people bring to their doctors–its estimated that up to 40% of adults experience dizziness severe enough to report it to a physician.


It is also one of the most difficult complaints to assess as it is a highly subjective sensation and may be caused by several overlapping pathophysiological processes which invariably result in balance problems.


It is therefore important to recognise the different signs that could indicate a balance problem to ensure timely and appropriate intervention.

Dizziness often occurs with other symptoms. If you experience any of the following symptoms alongside your dizziness, it is worth getting a balance evaluation:


  • Feeling confused or inability to coordinate movements 
  • Leaning or veering to one side when walking 
  • Increased sensitivity to light and sound 
  • Sensations of being pushed or pulled 
  • Unsteadiness or disequilibrium 
  • Spinning sensations or vertigo 
  • Repeated light-headedness 
  • Blurred or double vision 
  • Anxiety or panic attacks 
  • Headaches or migraines
  • Fluctuating hearing loss 
  • Nausea or vomiting
  • Floating sensations 
  • Motion sickness 
  • Fullness in ears 
  • Neck pain 
  • Brain fog 
  • Tinnitus 


Although balance impairment may arise from a whole host of different health disorders and bodily systems, deficits in the inner ear balance system, otherwise known as the vestibular system, are often found to be involved.


The following diseases and disorders linked to the vestibular system commonly lead to balance impairment:

  • Benign Positional Paroxysmal Vertigo (BPPV) 


The most common cause of vertigo. It is caused by misplaced calcium crystals in the vestibular system and results in short bursts of dizziness provoked specifically by head movements. 

  • Vestibular Neuronitis 


Caused by viral inflammation of the vestibular nerve leading to dizziness and imbalance.

  • Labyrinthitis 


Viral or bacterial inflammation of the inner ear nerves leading to dizziness and hearing loss.

  • Vestibulopathy 


Damage to vestibular organs that leads to imbalance and anxiety.

  • Trauma 


Head injuries may cause damage to the structures in the vestibular system leading to dizziness and imbalance.

  • Ototoxic Medication 


Can cause permanent damage to the vestibular system, typically resulting in imbalance, hearing loss and tinnitus. These include some types of chemotherapy drugs.

  • Meniere’s Disease 


A progressive condition caused by inner ear fluid imbalance leading to attacks of dizziness, tinnitus, pressure in ears and increasing hearing loss. 

  • Superior Canal Dehiscence Syndrome 


An anatomical change/ thinning in the bone overlying the vestibular end organ that leads to aural fullness, tinnitus, and sound/ pressure induced dizziness.

  • Vestibular Migraine 


Caused by temporary changes in brain activity that leads to motion intolerance, dizziness and visual disturbance.


Ear microsuction, irrigation and syringing

Ear microsuction, irrigation and syringing

Microsuction is a technique for removing ear wax or debris using either an ENT (Ear Nose and Throat) binocular operating microscope or specialised magnification loupes (similar to the type dentists use).

Microsuction is a technique for removing ear wax or debris using either an ENT (Ear Nose and Throat) binocular operating microscope or specialised magnification loupes (similar to the type dentists use).


This allows the clinician to look in the ear canal in great detail and use a very fine sterile suction device at low pressure to remove the wax. This process is not dissimilar to using a tiny vacuum cleaner inside the ear to remove the wax. Occasionally we may need to use other instruments to remove hard wax (such as Jobson Horne probes or micro forceps).


Using microsuction means that we can visualise the external ear canal and its contents in great detail while having minimal physical contact with the earlobe. This makes the process more comfortable for patients.


Preparation of wax with olive oil ear drops is not usually necessary but may make the procedure faster and more comfortable for the patient. For more information on this (and other topics such as the cost of ear wax removal) visit our FAQ section.


There are a variety of reasons why microsuction is superior compared to the traditional forms of wax removal (e.g., ear syringing or irrigation, ear drops). Ear microsuction is:


  • safer
  • faster
  • better tolerated
  • more effective
  • usually does not require weeks of waiting for drops to soften the wax. It may be performed on the same day you decide to book your appointment


A woman with hearing loss

Signs of hearing loss

It is estimated that at least one in six people in the UK suffer from some degree of hearing loss. It affects people of all ages and the onset is usually gradual. 


An imperative step to understanding hearing loss is recognising the signs of hearing loss. Hearing loss usually occurs gradually and is painless and invisible. People get used to the absence, or reduction, of sound quality often without even realising.

If you come across any of the following signs, it’s worth getting a full hearing examination:


  • Difficulty understanding conversation in a crowd and other situations with background noise 
  • Avoidance of previously enjoyable social situations due to mishearing 
  • Difficulty with hearing over the telephone and the ringing of doorbells 
  • Men's voices being easier to understand than women's or children's
  • Becoming isolated, depressed or irritable due to hearing difficulties 
  • Denial of hearing loss and unwillingness to be medically tested
  • Dominating discussions and talking louder than usual
  • Frequent requests for repetition during conversation 
  • Complaints of noises (tinnitus) in one or both ears 
  • Frequent inappropriate conversational responses 
  • Listening to TV or Radio at a very high volume 
  • Trouble hearing a speaker from a distance 
  • Complaints about others "mumbling" 
  • Straining one ear over the other 
  • Inability to localise sounds 


There are two main types of hearing loss, one is known as sensori-neural hearing loss (damage is within the inner ear and, or the auditory nerve) and the other is known as conductive hearing loss (damage is within the middle ear–the ear drum or the bones behind the ear drum):


  • Age related (Presbycusis) – Gradual deterioration in hearing commonly occurring in both ears mainly affecting high pitched sounds
  • Inherited – Can be attributed to many different syndromes or through other genetic causes
  • Noise induced – Permanent or temporary hearing loss caused by exposure to loud noises; either a sudden very loud sound or more commonly repeated exposure to high level sounds
  • Inner ear infection – Often caused by a viral or bacterial infection. Hearing loss likely to be of sudden onset with varying levels of severity
  • Head trauma – Fracture of skull can cause damage to the inner ear or the hearing nerve
  • Ototoxic medication – Can cause temporary or permanent damage to the cochlea, typically affecting the higher pitches of hearing. They may include lifesaving antibiotics and some chemotherapy drugs
  • Wax – a build-up of wax in the outer ear may stop sounds from reaching the ear drum
  • Outer ear (otitis externa)/Middle ear (otitis media) infection – Infections and inflammation in the outer ear or middle ear can cause conductive hearing loss
  • Ear drum perforation – a hole in the ear drum may be caused by several things including trauma, pressure, ear surgery and infection
  • Glue ear – Inflammation in the middle ear with associated fluid filling the middle ear space around the ossicles. The fluid stops the ossicles and ear drum from moving effectively and stops sound from easily passing through to the inner ear


This is the first step in order for us to understand what your current hearing levels are. Our experts will perform a number of different tests depending on what they feel is required to determine whether your hearing is normal or not and, in the event that any impairments are detected, will advise on the best solutions available based on your lifestyle and requirements. All hearing tests are carried out in a sound treated booth or room, following best clinical practice, with testing procedures explained to you prior to commencement.


A hearing assessment may include the following where appropriate:


  • Tympanometry – Test to examine the health of the middle ear and ear drum movement
  • Pure Tone Audiometry – Test to identify hearing thresholds and the degree of any loss
  • Speech Audiometry – Used to determine the weakest intensity for word recognition
  • Acoustic Reflexes – Screens the integrity of the auditory nerve pathway
  • Audiological or medical history and Hearing evaluation questionnaire
  • Comprehensive audiological report or e-report provided
  • Consultation and individual management plan


Got any questions?

If you have any questions regarding our wax removal, hearing and balance testing services, please get in touch with a member of our professional team so we can talk about it.

Talk to the team

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Capital Ear Care

163 Seymour Place, London, W1H 4PL, United Kingdom

+44 (0)7946 255088 | info@capitalearcare.co.uk

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