Ozone Ear Insufflation Protocol

Ozone Ear Insufflation Protocol


4 minute read

The content here within is not medical advice.  Consult your medical practitioner before attempting ozone therapy or an ozone ear insufflation protocol.  Ozone therapy is not FDA approved.

Ozone Ear Insufflation Information 

  • Ozone concentration ranges from 10 - 20 ug/ml (gamma)
  • It is recommended to wear a charcoal based masks or operate in a well ventilated area
  • Check ears with otoscope to ensure patient does not have a perforated eardrum
  • Can be administered the following ways
    • Stethoscope with Ozone Water Bubbler - Preferred method because it may help the ozone absorb deeper into the tissue.  
    • Syringe - Ozone is drawn into a syringe, a q-tip is used to lightly moisten the ear canal, then insert the syringe into the ear canal and depress the plunger.
    • Dry Stethoscope Method - A q-tip is used to lightly moisten the ear canal, then the stethoscope is run from the ozone machine into the ears without a water bubbler.   

You can click here to read a synopsis about ozone ear insufflation.

Protocol (for stethoscope with water bubbler)

Low and Slow Approach 

  • Flow rate of gas should be below 1/4 LPM.  Flow rate will vary between 1/4lpm to 1/16lpm depending on your machine
  • First treatment is 2 minutes at around 10 gamma and 3 times per week. 
  • Titrate up 30 seconds up every session to the final time of 6 mins per session 
  • After 1 month start this process over, but now at 20-25 gamma at 3 times a week and work up the final time of 6 mins a treatment
  • Practitioner may add additional days of therapy depending on patient tolerance

Aggressive Approach (only for medical practitioners to administer)

  • Flow rate of gas should be below 1/4 LPM.  Flow rate will vary between 1/4lpm to 1/16lpm depending on your machine
  • Start patient off for 4 minutes at 20-25 gamma at 5 times a week
  • Titrate up 30 seconds each treatment until patient reaches 6 mins a treatment
  • Practitioner can decide to go up to 7 days a week at the 6 mins/20-25 gamma 

Helpful hints

  • Some patients are more sensitive to ozone than others, so a fan nearby this setup would be a good idea. 
  • Most will smell some ozone while doing this treatment, and this is fine as long as your patient is not coughing or having watery eyes
  • You do not want to intentionally press the stethoscope into the ear canals as this could cause pressure build up and ear damage.
  • The stethoscope can be positional, so if you are smelling excessive ozone, make sure the ear cups are sitting securely in the ear canal but not as to cause pressure buildup

Ozone Ear Insufflation Complications/Things to lookout for

  • An adverse reaction to an ozone ear insufflation protocol is a Herxheimer reaction.  A patient could have excessive fatigue, rash, lymph drainage, and/or fever/chills. 
    • If you believe your patient is having a “Herx Reaction”, discontinue their ozone treatment for 4-7 days and allow their system to reset or discontinue.  Then have them start off on ½ as much gamma and time as previously administered.   Next, titrate back up to the original amount over a timeframe determined by the practitioner.  There are a number of protocols to help prevent a patient from developing a herxheimer reaction.
  • Some patients can experience headaches after doing this type of therapy, if this happens to your patient, lower the gamma and time by half for their next treatment or discontinue.
  • If a patient complains of “weepy” or “consistent moisture” in the ears, they are most likely getting too much ozone.  Discontinue if you feel necessary
  • Avoid pressure build up in the ear canal.  

DISCLAIMER: This website is for educational purposes only. It is not intended as a substitute for the diagnosis, treatment and advice of a qualified licensed medical professional. This site assumes no responsibility for how this material is used. The statements regarding ozone treatments have not been evaluated by the FDA. We are not medical professionals. We are merely collaborating common information that already exists. You should consult your medical practitioner before attempting anything to do with ozone therapy.

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