hi everybody my name is Rhys Barber I'm
the audiologist here at audiology
associates we upload new earear wax removal
videos every Monday Wednesday and Friday
at 9 p.m. UK time so please consider
subscribing hi everybody this is Rhys
farmer from audiology associates thank
you very much watching that you ear wax
compilation video today we have three
patients all together in this video
so this first patients come through just
a bit of reduced hearing basically in
both the ears so we're just going to use
that a standard size on the tip here
just to slowly work this ear wax out you can
see this ear wax is quite a thick stretchy
kind of consistency this one so as we're
pulling on the wire so you can see
rather than come out in one big lump
it's starting to pull away in a long
strip so we just have to kind of tease
this out to the canal really this type
of ear wax tends to have this more kind of
golden colour to it you tend to find it
that has to be the stickier thicker ear wax
like this kind of stuff the more
stretchy toffee kind of consistency to
it so this it's quite easy to spot when
you do see it just working off the right
side of the canal first of all before we
go into the deeper sections sometimes if
we've got ear wax like this and it's stuck
to the outer part of the ear canal then
that very sticky ear wax is going to stop
the restaurant traveling down some
people do say you're with the harder ear wax
why didn't you clear the outer part of
the ear first with harder ear wax it doesn't
tend to be as sticky so it's not so much
of a problem with clearing the outer
section you can do that afterwards and
tidy up but with this kind of ear wax you
have to clear that out section first so
you can see quite a long stretchy bit of
ear wax there's the drum there looking nice
and shiny let's take a look at the other
side you can see a slightly different
colour to it not that kind of golden
colour of ear wax so this looks like it's
probably gonna be a little bit a little
bit harder so just lifting off the canal
wall first of all you can see our more
golden colour to the ear wax no underneath so
that's the stickier stretchy a bit so
I'm just unsticking that from the canal
wall just Wiggly
that back and forth a little bit just
free that from the edges get so we're
going those hard section here we can get
a good grip on OD pops and when you take
a look behind that then you can see the
you drum a little bit dull that one not
the nice shiny like reflex we'd normally
get this is what we removed from both
sides and that's it an inch is there so
between both the years or three cores on
each property there abouts this is the
second patient the compilation so you
can see that we've got quite a big hard
blockage of earwax on this side still
sticking with the standard size on the
tube here aiming for the base of the earwax
there you go lift him up get a good
wiggle on him and he comes as well
so you can see just how quick that was
sometimes if the earwax stays together
really nicely in these harder pieces
like that they can come away really
easily so this is the same patient but
the second year so you'll see a massive
difference between between the two bits
of earwax so there's a lot more in this
side trying to break the outside edge
down lift it from the canal wall as we
did with the other side you can see it's
quite a large piece it's not really
budging so the trusty Jobson horn comes
out at this point
so can't quite get the jobs in horn in
and behind the earwax so what I'm going to
do first of all is just take the front
end off here going as safely as we can
above the earwax and that just creates a
bit more of a ledge to work on them with
the with the Jobson
just working into the centre
sometimes with that with a piece of earwax
like this which is softer in the centre
and harder and the outside edges when
you get a grip into the centre and push
into it you'll get enough purchase and
traction behind the earwax then to be able
to bring it out with a harder shell
still intact to it'll come out in a nice
big chunk but as you can see here it's
taking the front end off broken some of
the harder edge of the earwax away
these crumbly pieces which is why I'm
using the is on the tube now to go in
and tidy up a little bit yeah so you
just manage it now because we've taken
the centre of the earwax away it allows us
now to lift the outside edges into the
centre which is gonna let us get a bit
more of a grip on that earwax to be able to
take it away there we go you can see
there's another piece behind it there so
that works so she split into into two
and the last patient in the compilation
is quite an interesting one there's a
really good a really good example of
excess ptosis so it's worth sticking
around for it to watch that one as well
at the end you can see that this is now
just starting to come away we're trying
to get a good grip good grip here on
this earwax so if the camera seems a little
bit shaky sometimes you know because we
form this bridge so we were in constant
contact with the patient at all times if
the patient's head is moving a little
bit then it means that the camera gets a
little bit shaky at times just peeling
you can see the Drake and the skin and
the dry nature to this earwax it's also
quite dark this blast it'll kind of
negate a earwax in that the bottom of the
canal here is quite old maybe I've got
equipment attached it and there's a year
drum or looking or looking good not
quite as good a light reflex on my side
you can see the colour differences in
these earwax as well here so much light to
earwax on the left-hand side we knew where
much darker earwax to the right side much
older ear wax there so this last patients
come through with a blocked up here on
one side so only one year we're doing
for this patient today might looked at
the other year there was a trace of
excess ptosis which is known as kind of
surfers ear or swimmers ear in some
parts of the world so what they've asked
me to do is remove this bit there's a
lot of reduced hearing in here and
you'll see why in a second so we're just
trying to get a grip on this out
dissection why so quite dry you can see
the patients be using a bit of olive oil
because you'll see it to the right side
of that block or why it's kind of as
pushes against the canal water you'll
see a little bit of liquid in there
that's the olive oil so what I'm doing
with this at the moment is it I've got a
bit of a wiggle to it so it is moving up
and down slightly and with the olive oil
around the outside edge I think we can
get this out in one piece using the
Zoellner tube so we're just gonna try and
manoeuvre this ear wax to the outer part of
the economic we can there we go just
starting to get a little bit of movement
I think this ends gonna break away yup
they're videos so we're just gonna use
that piece that's stretched out there
there we go
it's moving out to the canal now so now
I'm going to try and roll this forward
it something seems to be holding this
back which is the reason I'm rolling it
rather than trying to pull this out so
something's holding this ear wax in so just
train to roll it until we get the back
end there we are now that's the that's
the back end of the ear wax lifted up now so
that should come away easily but you can
see it's still quite firmly wedged in
there which means that it was right that
there was something stuck behind this
holding this in so she's gonna give this
a really good wiggle to try and work out
what is causing what there it's this
long ribbon of dry skin look that's been
embedded and holding this in okay so
this is what I wanted to show you
there's a little bit of dry skin we
gonna take that away in a second but you
all these lumps and bumps around the
outer part the ear canal you've got some
that look flashcards and then the top
right that the screen is a whiter
coloured piece and these are called
excess doses so basically these are bony
growths those three there are older ones
that ones are more new or one there at
the top so just they think it's due to
repeated exposure to cold water it's
just like a benign kind of growth on top
of bone which is what this exostosis
is be I just want to show you that once
it's quite a good example this is what
removes the long skin ribbon there you
very much for snow video today if you
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until the next time take care