How we do it: technical note: endoscopic removal of cerumen.

• Syringing of ears to remove cerumen is losing favour in primary care owing to the fact that it is carried out 'blind' and that the potential exists for serious complications. * Dewaxing under direct vision is difficult without a microscope. * A technique is described where wax is removed under direct vision using a rigid endoscope in conjunction with a Jobson-Horne probe and St Bartholomew's wax hook. * This is a relatively inexpensive technique that could be introduced to primary care practitioners or to ENT surgeons who do not have easy access to an operating microscope in the outpatient department.