hi everybody this is Rhys Barber from
audiology associates thank you very much
for watching a ear wax removal completion
video today two patients in this
compilation so you can see this first
patient has a very hard piece of ear wax at
the entrance to the ear canal perfect for
the job CIN horn so we're gonna go
straight in take this one away so you
can see as we bend this down we've got
the initial hard section there at the
front and this much squishier thicker
sticky ear wax sitting behind it so we're
just gonna try and pull this section
forwards we've slowed all this down so
you can see this coming out see how
we've the consistency changed there as
we pulled that bottom section way it's a
much thicker stickier type ear wax much much
sort of more more other sort of Fig
Newton figure all racks the ear wax that we
talked about there so we're gonna go in
with a suction now if we went back in
now with the Jobson horn what would
happen is because it's that much thinner
type of ear wax would not very much
structure to it it would just draw the
jobs and horns straight through the
centre so you get very little like so
and what you'd end up doing is rista
'king all the ear wax to the ear canal walls
then so you can see we're going to
loosen some of this away slowly working
this off the ear canal wall on the one side
they're getting rid of all this at this
much sort of soft type ear wax
what you don't see obviously in the
videos is sometimes when you get in
grips a little bit too getting sucked
into the machine constantly so as we're
lifting this kind of softer ear wax out what
it's doing is its breaking a little bits
off and those are constantly being
vacuumed into the into the tank you see
there we are know we're starting to lift
this up now it's not budging it's really
really stuck on that ear canal see how
that's really jammed in there now it
doesn't want to come away from that
ear canal wall very easily there there's a
little pinch by a little V at the bottom
of this particular ear ear canal which is
quite narrow so as we're moving left and
right what's happening is we're sticking
to one side of the ear canal wall stick into
another so I've just introduced a little
bit of olive
in here which is just going to reduce
that stickiness to the ear wax also it forms
a layer between the ear wax and the ear canal
wall so when you are wiggling back and
forth and to remove this it's not re
sticking back to the opposing ear canal wall
again you can see we're just slowly
lifting this up there's a couple of
little tiny Cilla which is just
obscuring the view slightly just because
of where the endoscope has to sit behind
the tool there it's just at the perfect
depth with the end of the camera at the
end of the endoscope is sitting just in
that kind of bed of Silla slowly working
this up can you see there's a little bit
of redness underneath that particular
section of ear wax there where this has been
rubbing back and forth so as we lift it
up you can see it looks quite a little
bits almost like a little tiny blood
blister under there if we lift this
section again you may just get a glimpse
of it just underneath the suction tube
there you'll just see a little patch of
red where that's been rubbing slowly
working there we're just starting from
the outer part the ear ear canal just slowly
working our way back what I'm looking
for here is any kind of peel that we can
get underneath this sticky ear wax and
that's what we're starting to get there
as we lifted that one corner off we
start to get this a little bit of appeal
to the to the to the sticky ear wax
underneath just looking at the lay of
the land a a little bit you can see that
if we pan back with a camera you can see
just how far back that peel was on the
right side there it's always good to
take a tick stock of what you're doing
so just stop just for a second or two
and then go back in then you have a good
look around see if there's any loose a
bit so we can we can kind of exploit to
get this out so you can see now I've put
the olive oil in again trying to loosen
this bottom section here I'm staying
just above the ear canal wall because I've
spotted that sore bit in there so I
don't really want to touch the ear canal
wall if I possibly can
we're just using the fine end here just
to suction up more of the olive oil so
we imagine the olive oil just distorts
your perspective just ever so slightly
when you come in to clear the ear canal
walls so I'm trying to get suction as
much of the excess oil at leave
a little bit in this you can see I was
starting to peel down up from the top
left-hand corner so this is coming down
really well
slowly slowly pulling this down trying
to draw it across though you've seen the
size of the finance it will give you
some appreciation to the narrow point of
this ear ear canal here just in front the
ear drum so we can't work too close to
the ear drum we can't we haven't got
much room to so wiggle back and forth
slowly trying to grab this last little
bit some patients do move a little bit
which is what's happening here which is
why you're seeing that ever so slight
kind of vibration to the camera there
there now we've pulled that section away
that from the left hand side as we draw
this away now I'm trying to get it away
from the ear drum there we are trying to
get this hoping this this bottom section
will stay attached as well which will
give this a good pull forwards there we
are so that's gone let's take a look
behind this we've cleared that left hand
ear canal wall look a little blister they
likes you to the left hand side a little
writ that riddle raised section we're
pulling across now from this right side
slowly drawing this in peeling away you
can see it's all starting to peel away
really nicely
I'm thank you to everyone who's taking
part in the poll so far this week I am
going to put another poll on now it
should pop up in the corner so if you
can just vote on that poll for me
because that's going to determine how
these videos are going to look moving
forwards
I really want to do what you want to see
guys so if you could take part in that
poll that would be absolutely fantastic
the results of the poll will look at at
the end of this week so what we'll do is
we'll then decide what was the most
popular format and we'll move forward
with that particular format okay
so please if you want your say vote in
the poll okay so we get this last bit
now as we draw it away the olive oils
done its work is loosen that last
section there at the base of the ear canal I
started to come away really nicely a
little bit of here they're just trying
to get a grip with the suction tube it
just detached on the way out you can see
how sticky this is it does
want to come out there you go just step
to the ear canal warlock on the way out to a
really sticky type of ear wax there little
bit of dry skin let's take that away as
well you can see that just up and flick
up into the suction and there we go
there's the eardrum there so no light
reflects their skin that kind of bluey
green color so a little bit retracted as
well maybe we can see here got an inch
which is to an hour centimeters worth of
ear wax there so quite a bit out of a ear
ear canal and all that kind of rich golden
color so this is the second patient of
compilation' look at the color
difference between these two ear waxes we
talked a lot about color and you know
from past videos that you get this
really kind of deep color when the ear wax
is a little bit older it oxidized just a
little bit more the key note amongst you
will notice that there is some ear wax
already on there zone or two before I
put it is because we just did a very
quick clean on the other side but the
patient doesn't have follow-up on that
one so I'll post that one another day
but this is the second you know that
we're doing so you can see we're trying
to get a grip on this we can lots of
this kind of thick sticky more kind of
figural Fig Newton filling ear wax at the
moment there's lots of patients coming
through this I think it's just down to
sheer kind of desperation a lot of
people have been introducing so oils and
trains lots of home remedies to train
help with their ear wax until they could get
this done and it does tend of alter the
texture a little bit some people
naturally produce this type of ear wax but
for a lot of patients it's because
they've used a bit of olive oil then
stopped or used to absorb so then stop
so you get this kind of constant
changing and consistency then of the ear wax
so there you can see all this is really
starting to come away perfect got a nice
big chunk away then so we've cleared
this front section the ear ear canal but you
can see there's this deeper section
there all these tiny little hairs from
here trims basically it's from the
hospital trim their outer ear here
especially as we as we gather a bit all
those gentlemen we tend to find we get a
little bit here growing up the ears
that's what they've been doing here so
all those little pieces have gone back
to the ear waxed embedded in there yes
slowly pulling this away with those
little ear hairs like that a lot of
people ask me questions about these if
you can I was pretty clear when you have
your next bath or shower it they'll wash
out all right you really don't need to
worry too much but it's only if you've
got a lot of ear wax you can see that embeds
into that ear wax then so this last section
quite deep so sitting just in front of
the ear drum let's see if we get a good
grip on this now there we are so we've
got the grip holding onto it it's
pulling some of these hairs out with it
slowly working this out here we go and
we'll tickle it behind that there we are
there's the ear drum also looking quite
dull lots of dull ear drums today so
this is what we can see so this you can
see the hair filled lumps they're two
and a half centimetres about an inch
there