Ear Microsuction

Microsuction is a safe and thorough method of:

  • Removal of wax and foreign bodies in the ear
  • Removal of wax in patients with contraindications to ear syringing/irrigation (i.e. tympanic perforation, previous ear surgery, history of otitis externa following syringing and many more. Please see the NICE CKS guidelines on the FAQ page for a full list.)
  • Treatment of acute or chronic infections of the ear canal
  • De-waxing of children’s ears (cooperative children above 4 years of age)
  • Regular cleaning of mastoid cavities

Our consulting room


Our lead clinician


Dr. Mihaela Carmaciu

Dr Mihaela Carmaciu is an experienced GP who achieved the Diploma in Laryngology and Otology from The Royal College of Surgeons in London in 1996. She has been providing ear micro-suction services to NHS Mid Essex patients since 2009.


Our registered nurse


Mrs Jo Knight

Jo is a registered nurse with over 12 years experience performing ear microsuction. She has worked in nurse led clinics in the community and in Ear, Nose and Throat hospital clinics since 1989. She is a member of the Royal College of Nursing and registered with the UK Nursing and Midwifery Council.



Our audiologist

raulMr Raul Garcia-Medina

Raul Garcia-Medina is the founder and Clinical Director of The Audiology Clinic. A Council member of BSHAA, a partner and panel member of the Health and Care Professions Tribunal Service (HCPTS), an IDA Fellow, a past Clinical member of the UK Clinical Reference Group for Specialised Ear Surgery and a registrant of the Health & Care Professions Council.

Raul has been a Consultant Audiologist providing clinical audiological services and ear care, including aural microsuction, for over 20 years. After qualifying in Barcelona in 1996, he came to the UK where he has devoted most of his audiological professional career to the NHS before embarking on an entrepreneurial quest.  He has ample experience working in both paediatric and adult audiology departments, and specialising in both diagnostic and rehabilitation services. Raul has been managing audiology departments and teams of audiologists since 2003. He holds a postgraduate diploma in Audiology from the University of Manchester and an MBA from London South Bank University.

In 2014, he became the Audiology Professional Manager for the Royal National Throat Nose & Ear Hospital, part of the UCLH Foundation Trust. He has also worked in the private sector as a Consultant Audiologist performing aural microsuction under surgical microscopes for the Clear Ear Clinic in London between 2007 and 2018.

His main specialties are: aural care & microsuction performed with high-grade microscopes, auditory rehabilitation, audiological diagnostic investigations, tinnitus and hyperacusis management, auditory processing disorders, bone-anchored hearing aids and middle ear implantable devices, hearing loss prevention through education and counselling, and musicians’ hearing.