hi everybody this is Rhys Barber from audiology associates thank you very much
watching our video today we have another ear wax extraction video for you so this
gentleman's come through with a little bit of discomfort in the ears reduced
hearing as you can see there's quite a hard block of ear wax in here so we're using
the standard size zoellner tube first of all just to see if we can loosen this
bit of ear wax you can see around the outside edges I'm moving it the olive
oil that's been pulling by this this gent just squishing against the ear ear canal
wall there what we're trying to do is just rock this see if we can get a
little bit of movement to this piece of ear wax so not really budging with the zoellner
we're gonna go in now with the jobson horn just putting some gentle steady
pressure on top of this ear wax you can see just how thick and hardened up the outer
part of the ear wax is and the centre is also quite sticky and thick so you just
know that the jobson horn is just flicking out so we're just trying to get behind
it into a into a nice grip in the centre of the ear wax if possible so we can bring
this forward sometimes we're lucky and that will bring the whole thing out in
one go little pieces breaking away you can see dry parts of this ear wax are so the
outer part of the ear wax is quite hardened up so it's got almost got a hard shell
and a soft core in the center I'm try my best to get a grip in here you can see
how dark that that ear wax is as well always gotta be really cautious when we're
removing large lumps like this just taking it away from the ear ear canal wall which
will help to do two things it will stop the ear wax from sticking but it will also
help to make it a lot more comfortable for the patient of it removed see the
front end of this ear wax is just started to come away
trying not to touch the ear ear canal walls if we can because they are really sensitive
you can see just how hardened up this this ear wax has become though the deeper we
get
a little bit of leverage I'm hoping by doing it this way that we're going to
take quite a large chunk away but you can see it's just crumbling away in
pieces so now we've taken the centre away we can collapse the sides in
just to make it a bit more comfortable what the patient feels when using Jobson
horn I always tell patients they'll feel a little bit of downward pressure they
may feel the odd bit of mild pinch or mild scratching so obviously this is
quite a large piece of ear wax that has to move down the ear ear canal so not going in too
deep with the jobson home because the we're coming to what looks like it might
be the back end of this ear wax we can tell that just by the anatomical features of
the ear canal as we're going in you can see it's just start to give a little bit
around the edges still crumbling away a little bit of olive oil put in now just
to see if we can loosen this ear wax help it slide a bit more along the ear canal olive
oil will help to lubricate the ear ear canal wall it gets down the side of the ear wax so
it does help to bring it out if we've got particularly bit there we go and we
can see the ear drum behind a little bit of redness there where that ear wax has
been rubbing the eardrum itself looks really healthy so this is what we
removed this obviously the last section into the right hand side that was the
largest piece of ear wax that was the last piece that we took out but all the rest
is the crumbly bits in front to it and there's the Jobson horn so you can see
the size of that as always guys if you did enjoy the video then and you're not
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guys take care