https://www.timesslimited.co.uk/blog-1 daily 0.75 2020-07-25 https://www.timesslimited.co.uk/blog-1/testimonials monthly 0.5 2020-07-25 https://www.timesslimited.co.uk/news-events daily 0.75 2020-07-26 https://www.timesslimited.co.uk/events-2 daily 0.75 2020-07-26 https://www.timesslimited.co.uk/education-and-training daily 0.75 2020-07-25 https://www.timesslimited.co.uk/information-leaflet daily 0.75 2020-07-25 https://static1.squarespace.com/static/5e31f10aa4658b1c86241694/t/5e3d861b5749b2699ac91b42/1595076282716/Microsuction.png Information leaflet https://static1.squarespace.com/static/5e31f10aa4658b1c86241694/t/5e3d843a9af3cb44f6f24bba/1595076282712/Cerumen.jpg Information leaflet https://www.timesslimited.co.uk/contact-us daily 0.75 2020-07-26 https://www.timesslimited.co.uk/our-services daily 0.75 2020-07-25 https://www.timesslimited.co.uk/appt-form daily 0.75 2020-07-19 https://www.timesslimited.co.uk/tinnitus daily 0.75 2020-07-19 https://www.timesslimited.co.uk/wax-cerumen daily 0.75 2020-07-18 https://static1.squarespace.com/static/5e31f10aa4658b1c86241694/t/5e3d84a359d5db74cde1b8d3/1595171813450/Cerumen.jpg Wax & Cerumen - Cerumen, or wax as it is commonly known, is a normal secretion of the ceruminous glands in the outer ear canal, commonly located in the hair bearing portion of the ear canal. It is slightly acidic, giving bactericidal qualities in both its wet, sticky or dry, flaky forms. Wax extrudes the ear canal by epithelial migration, jaw movement assists the movement of wax to the entrance of the ear canal where it emerges onto the skin. A small amount of wax is normally found in the canal and its absence may be a sign that dry skin conditions, infection or excessive cleaning have interfered with the normal production of wax. It is only when there is an accumulation of wax preventing the visualization of the tympanic membrane that removal is necessary. A build-up of wax is likely to occur all age groups, but more so in children and older people and those with learning difficulties, hearing aid users, people who insert implements into the ears, especially cotton buds or have narrow canals. Excessive wax should be removed before it becomes impacted and then cause problems. Excessive, impacted wax can cause: Hearing loss Infection with discharge (Keratosis Obturans) pain Tinnitus Vertigo/Dizziness Therefore, where any of these symptoms occur, the ears should be examined to determine the extent of wax impaction and removed appropriately. WAX REMOVAL This is done to treat and or prevent the above complications affecting people. This may resolve the symptoms, however, where they persists after wax removal, referral to an ENT Specialist and Audiologist may be indicated for further assessment and management. There are several methods of wax removal, commonly: Syringing Using wax hook or other instruments Microsuction Out of the above 3 methods, Microsuction is the safest and considered to be the gold standard for dewaxing ears. https://www.timesslimited.co.uk/microsuction daily 0.75 2020-07-18 https://static1.squarespace.com/static/5e31f10aa4658b1c86241694/t/5e3d865e9af3cb44f6f2de45/1595171732983/Microsuction.png Microsuction - The safest way to remove wax from the ears. It is generally painless, but some people may experience minor pain or discomfort. It takes up to 30 minutes for both ears and prolonged instillation of wax softening drops is not always necessary prior to the procedure. The best method for dewaxing ears with a perforation of the tympanic membrane (ear drum), a mastoid cavity and discharge. COMPLICATIONS. Short term muffling of hearing. Tinnitus also short lived, due to the noise of the suction. Vertigo/Dizziness, Usually, short lived; clears by the end of the procedure and does not recur. It is due to the stimulation of the inner ear. Trauma to the ear canal with minor bleeding Perforation of the tympanic membrane in untrained users and where the patient jumps or suddenly moves their head while the procedure is in progress. It is very rare. The perforation usually heals spontaneously within 4-6 weeks. Occasionally it may need to be repaired if it does not heal and the client develops recurring discharge. https://www.timesslimited.co.uk/about-1 daily 1.0 2020-07-25 https://static1.squarespace.com/static/5e31f10aa4658b1c86241694/t/5ef4e6b642e89335904576c0/1595171770400/IMG-20200624-WA0005.jpg Aboutus Mr Moses A Yaor https://www.timesslimited.co.uk/take-action daily 0.75 2020-07-18 https://www.timesslimited.co.uk/about-us daily 0.75 2020-07-19 https://static1.squarespace.com/static/5e31f10aa4658b1c86241694/t/5f1462c706a2aa4123eb1a52/1595171692327/IMG-20200624-WA0005.jpg Aboutus (Copy) Mr Moses A Yaor https://www.timesslimited.co.uk/our-services-1 daily 0.75 2020-07-21 https://www.timesslimited.co.uk/information-leaflet-1 daily 0.75 2020-07-21 https://static1.squarespace.com/static/5e31f10aa4658b1c86241694/t/5f16ba9504de1732f23db7e9/1595076282712/Cerumen.jpg Information leaflet (Copy) https://static1.squarespace.com/static/5e31f10aa4658b1c86241694/t/5f16ba9504de1732f23db7ec/1595076282716/Microsuction.png Information leaflet (Copy) https://www.timesslimited.co.uk/contact-us-1 daily 0.75 2020-07-21