hi everybody this is Rhys Barber from
audiology associates thank you very much
for watching a video today a little bit
of a different one today this gentleman
had a piece of skin that is just
embedded in the ear canal there so just
attach on the ear canal wall you'll see how
that happens a bit later on in the video
because it does does make it a little
bit clearer so the first thing we're
going to do is grab this this lump of
skin that we can see at the entrance
here with the zoellner tube so I'm just
trying to get a grip on it just to train
a little snit from the ear canal so
obviously this skin is going to be
attached somewhere in that inner ear
ear canal not the easiest of bits of debris
to get hold of with the zoellner tube the
cars as we're lifting it here what I can
see it's basically effectively a pocket
of skin so we're looking at the entrance
of that pocket here so all of this
around the outside edge is attached to
the ear canal wall underneath and goes right
the way down to the eardrum so what I'm
doing is trying to get a grip on this
but obviously with the suction it only
has a limited amount of suction so we
can hold on to it and try and wiggle it
sometimes you're lucky and the skin will
break away from its source and you can
take it in one big chunk but as what's
happening in this side I can get a grip
on there but not a strong enough grip to
to remove that so I'm just going to keep
trying to see if we can loosen this away
but you can see the pocket we were
talking about you can see how far down
as we pull that skin across to the right
just how loose that skin is and how far
down into the ear canal it goes
obviously I prefer to use the suction to
get this out if we can we can use the
crocodile force out which we're going to
have to I think to do this so we got
underneath just try and get a grip on
that skin trained not to touch the ear canal
walls as we do so but as what happens
all the time with skin in crocodile
forceps it just tears and it's very
difficult to get a really good grip on
this because the skin is obviously
sitting right on top of the ear canal wall
we really don't want to cause any
discomfort for this patient so it's just
a case of being patient and taking
little bits away at a time
okay so we've got quite a large piece
there and see what I mean by tearing
it's not really pulling out as we would
have really liked it to do with one big
pocket of skin so you can see that it's
peeled away now you can see the ear drum
there but we can see there's a lot more
of this you can see that loose skin
there like just peeling away
this gentleman's having to have his ears
cleaned out he's actually on holiday so
he's coming to see us today but he's
home dollars here cleaned out back at
home every six to eight weeks so what
we're gonna try and do here is give him
a really thorough clean so strip away as
much of this old dead skin as we
possibly can
we're going to see it peeling away all
the way down here ear canal and see how far
down that goes now we can see the edge
and we know it's not attached to the
eardrum so we don't have to be really
gentle as we would if that was covering
the drum as well you're pulling away in
these long strips so you see the
right-hand side knows quite clear but
you can see that whitening of the skin
on the left-hand side so we're just
gonna do the same thing there to the
left side just make sure we give this
this Jen a really thorough
and going to that peeling all the way
down this happens in some people there's
no specific cause for it if you've
looked at the video way explain about
keratosis top trends you know the
migration of the skin in the ear canal
so this can just go you could just
produce too much basically it just it
just forms these layers of excess skin
so I'm just trying to do a little bit of
tidying up a bit closer to the drum so
we've got the fine end on there now so
yeah there we go just stripping away all
the bits of trier skin there we're never
gonna get all of this away also we don't
have strip too many layers away because
it it will start causing problems as far
as you know the the skin underneath
itself is concerned we don't according
it is in the skin or any bleeding so oh
yeah
also it got sucked into the machines are
no shot on the against the ruler you can
see all the bits floating around at the
bottom of the tank there so that's just
suspended in water we've just flushed
the Machine through well thanks again
for watching today guys if you do like
the video then please like share
subscribe as always take care