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Updated: May 26, 2026

Studying Cavitation Enhanced Therapy
Published on: April 9, 2021
[Suction-generated noise levels during aural toilet].
S Hansen1, A Stupp, S Schwarze
1Universitätsklinik Düsseldorf, Hals-Nasen-Ohrenklinik, Düsseldorf. stefan.hansen@uni-duesseldorf.de
Microsuction procedures can generate extremely high noise levels, with lard suctioning reaching nearly 150 dB(LAmax). This objective data on suction noise levels can aid in evaluating patient complaints of hearing damage.
Area of Science:
- Otolaryngology
- Acoustics
- Medical Device Safety
Background:
- Microsuction is a common ENT procedure for ear canal cleaning.
- Patient complaints of hearing loss or tinnitus after microsuction are difficult to objectively assess due to limited noise data.
Purpose of the Study:
- To objectively measure and analyze noise levels generated by different microsuction devices.
- To provide reproducible data to aid in evaluating patient complaints related to noise exposure during microsuction.
Main Methods:
- Noise levels were measured using standardized conditions in an artificial model head.
- Different suction device diameters were tested.
- Suctioning of water and lard (as a cerumen simulant) was performed using a noise mediator.
Main Results:
- Suction device inner diameter significantly influenced noise levels; a 1.4 mm sucker produced over 100 dB(A).
- Suctioning water reached over 130 dB(LAmax), while lard suctioning peaked near 150 dB(LAmax).
- Lard suctioning produced a characteristic 'bang' sound with distinct noise and frequency patterns.
Conclusions:
- This study provides objective, reproducible data on noise levels produced during microsuction.
- The findings can assist in the medical evaluation of patient complaints regarding hearing damage or tinnitus post-procedure.
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