hi everybody my name is Rhys Barber I'm
the audiologist here at audiology
associates we upload new ear wax removal
videos every Monday Wednesday and Friday
At 9 p.m. UK time so please consider
subscribing hi everybody this is Rhys
barber from audiology associates thank
you very much for watching our ear wax
removal compilation video today so we've
got three patients in this video first
patients come through with reduced
hearing on one side I've been using a
lot of olive oil in here just to try and
clear this blockage but as you can see
it's really deep so sitting just in
front of the eardrum so what we're doing
here is just clearing the outer part of
the ear canal first just taking some of this
soft and loose debris away here you can
see a pool of olive oil they're just
sitting at the base of that block of ear wax
so we're just gonna try and grab this
bit in a second and take this off the
drum he's actually stuck to the drum
here we are
it's got wedged eight it's a little bit
harder on the outside edges there we go
lovely and you can see the ear drum
there looking nice and healthy so this
is what we removed you can see it's
quite a large piece considering the ear
drums only about a centimetre across
it's just under a centimetre there so
quite a bit quite a bit of an issue as
far as the hearing was concerned for
that patient so this is the second
patient in our compilation so you can
see we've got some very dry very dry
ear wax here so we've got the standard
size on the tube in here just trying to
break some of this ear wax down patients we
are having a little bit of irritation in
their ears and some reduced hearing as
well you can see you got very soft kind
of tacky ear wax here this patient does have
quite a substantial tremor affecting one
side of their body so if you see the
camera moving quite a bit is because the
patient was actually tremor in quite a
lot and the tremor got worse obviously
with the more noise in the ear canal so
you'll have to bear with this when it's
worth watching this one to the end so at
the moment we're just trying to manoeuvre
the ear wax away from the ear canal walls we've
got to be a little
obviously a little bit more careful than
we normally would be just because of
that tremor we don't really want to be
kind of digging around too much in here
I don't to work too close to the ear canal
walls either because it's you know with
it with the kind of involuntary tremor
that we've got going on it can dig into
the ear canal wall if you're using tools
very close to it so I'm trying to do as
little of that as possible you can see
we just try and stick it as much as I
possibly can here just to remove this
outer section there we are we've managed
to pull it into a nice central piece so
it means I can work on the centre of
this ear wax you can just see we're just
starting to get a little bit of movement
there we go is on its way you can see
it's gs kind of sticking the tremor
again a little bit worse there's
obviously where I've moved this ear wax now
the patient can hear the sound of the
microsuction a little bit more which is just
causing that tremor just to just a kick
in just a little bit more so anyway I
just put in the top section don't know
so we've got the you can see the darker
coloured ear wax behind it now we're going up
and down the ere we go now we've got the
movement to it so we took it away you
can see that piece a what I look in here
now though we can actually see spores
from a fungal infection in here
so you can see lots of little yellow
dots so these are all the spores there
now if the patient didn't have the
tremor then I would go in and try and
remove some of these but because of the
quite substantial tremor the patient has
it means it's very difficult to have
been very dangerous for me to do that so
we've sent the patient away to get some
anti-fungal drops to pop into those ears
and we're going to check him over again
then in a bit of weeks time just to just
to make sure everything's ok for him
from that point so just removing some of
the harder pieces of ear wax here and there
in the second ear canal
here we aren't all staying together
quite nicely quite dried up bits of ear wax
and a little bit of dry skin in here as
well just working our way very slowly
we've got to be very careful at this
point because obviously we don't want to
get too close to this here drum with the
tremor there as well so we're gonna stay
away from the ear wax and draw it to us
there we are
that got it away from the ear drum now
so we can then take it out more safely a
little bit of dry ear wax there in the Attic
the top portion of the ear canal this will
just take that away then we don't stay
together quite nicely and a little tiny
bit to the right side so we're gonna
stay just above it so don't touch that
ear canal wall or there's one last piece I'm
gonna put the very fine end on here and
just stay away from this we very gently
we are luckily the tremor wasn't too bad
at that point so we could get it out so
this is what we removed you can actually
see the spores there to the right-hand
side of the larger chunk at the base end
there so hopefully the patient comes
back for a follow-up we'll take a look
at his is the economic sure
everything's all cleared up this is the
last patient now in the compilation
gent must come through more of an
irritation and a hearing loss there in
the ear canal we can see we've got some
quite large chunks of dry ear wax there
some standard sized donor to bone him
first as always we try and clear what's
on the ear canal walls as much as we can
you'll see just how tough this ear wax is
really hardened up there on the pole
quite hard to take this away from the
ear canal wall they just manage to get a
grip there we go just taking that
section away and then we'll work on the
next section at the base of the ear canal
here we go if you are enjoying the
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don't see on YouTube as well so we can
get this larger piece now off the left
hand ear canal wall this is actually quite a
long piece of ear wax so I'm going to use
the crocodile forceps just to grab I the
side of this angular section at the
front it's difficult sometimes to get
the angle you need with a crocodile for
sets because you imagine we've got the
endoscope which is like a long thin tube
just inside the ear and you're trying to
work around that with the tool so
sometimes we can't always get the angle
we require we can most other times
sometimes we just can't quite get the
angle we need so managed to get the ear wax
move to the outer part of the ear canal
so we've got a gap at the top we can get
behind it now with the Jobson horn just
manoeuvring this last piece of ear wax out
here there it is it's completely just a
tough and hardened up and dried up this
last piece of ear wax is just getting trying
to get fight it through those hairs on
the other part the ear canal yeah you
can see we got a little bit of dry ear wax
the right side there so we're just gonna
take that away and you go especially a
layer of dry skin so break that
off there we are I'm just going to
Hoover up any debris there we go all
looking nice and healthy so this is the
other yeah you can we can see the
eardrums through the gap here lots of
dry pieces overlapping one another here
so let's just grab one of these and take
the other way you can see where this is
hardened it's hardened quite solidly
onto the onto the actual ear canal walls so
microsuction is struggling to get a good
enough grip because it's so hard
the microsuction doesn't always grip quite as
well to the heart of ear wax you want a
slightly soft edge to it so it can
almost bite in just ever so slightly so
this is the Jobson horn so we're just
rolling this now down the ear canal you can
see a poll quite hot there we go quite
hard on it to get it out we've got some
dry ear waxing skin at the base of the ear canal
now so we'll just get behind some of
this there we are I apologise well for
not being able to comment as much as I
normally do on the videos I know I said
in a few videos earlier we're still
looking for somebody to come and join us
here at audiology associates so it just
means I don't have a great deal of time
so I'm concentrating more on getting the
videos out I will comment when I can
guys I promise that I do read every
single one because I get a little time
you comment on my phone so I get to see
every time but if you can keep the
comments up I do enjoy reading them and
as always guys do and just thank you so
much for sticking with the channel at
this time I know it's I don't get to
talk to you as much as I'd like to but
we just cost rating other videos at the
moment and then we are looking nice and
healthy so this is what we removed you
can see quite large dry pieces there and
some dry skin and the same there in
inches
you very much more snow veneer today if
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always guys until the next time take
care