hi everybody my name is Rhys Barber I'm the audiologist here at audiology
associates thank you very much watching our video today if you've never come
across one of our videos before or if you haven't looked at the channel before
what we do here is post ear wax removal videos we post new ones every Tuesday
and every Friday so if you have any questions about the video that you go to
watch then pop them into the comment section below and that way then the most
popular questions we can answer at the end of the week so enjoy the video and I
shall see you at the end hi everybody this is Rhys Parber from audiology
associates thank you very much for watching our video today so we have a
gentleman that's come through the clinic and he has very hardened up ear wax
on both sides or quite dried out ear wax so what we're gonna do first of all
is just gently probe this ear wax with the standard size zoellner tube just see
it's just scraping along the outside edge of the ear wax here to see if we
can get a little bit of movement to it sometimes when it's hardened up like
this you may have a little bit of flexibility a little bit of wiggle room
in here which will allow the ear wax to come out in one large piece if you're
watching this on Facebook guys and you do like the video we have lots of other
videos on our youtube channel at audiologyassociatesUK so not really
budging with the zoellner tube so this is the Jobson horn so we're just going
to use this to maneuver some of this hardened up ear wax to the outer part of the
ear canal here now you can see it's binding together and holding together
quite nicely quite a large piece they're still quite a bit behind it so but this
is more towards the outer part of the ear canal now so we're just going to use
the standard size zoellner tube again just to tidy up looking to see if we can
maneuver this out in one piece
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Facebook page as well which is audiologyassociates1 if you want to check
there and follow that page as well you have just broken a piece off now so
we're just getting the little pieces starting to break away because this ear wax is
dry sometimes you will get these smaller chunks that that pop off from the main
body of your ear wax
just slowly breaking pieces off looking for any movement in this ear wax so we can
get out in one piece if we can there we are you can just start to see it moving there
so we've got a good grip with the suction tube now just holding onto the
ear wax basically and and wiggling it back and forth to maneuver it around the two
bends in the ear canal until we get to the outer part of the ear canal can see just
so dried up this ear wax is so we're gonna go back in with the Jobson horn just
to get it the last few centimetres out here we are you can see how dark this quite
dried up tough it is really difficult to get the Jobson horn in to lift it over
the bowl of the ear there and there we are you can see the eardrum looks really
healthy good light reflex a nice shiny light reflex there so this is the same
patient but the second ear now as you can see we've got very similar problem
on this side thought there might have been a little gap at the top there but
it's all closed up so we have got a slight Ridge to work on there with the
jobson Horne we're going to use that first just to bring some of the outer
section of ear wax away
that's the first piece gone this is the standard size zoellner tube again when you
take ear wax away with the Jobson horn if it doesn't come away in in a nice clean
piece it can leave lots of these smaller debris bits which are really close to
the canal wall now I personally don't like using the Jobson horne if you've got
a thinner piece of ear wax that's really close to the ear canal wall just because it
is uncomfortable for the patient they'll feel a scratching or pinching sensation
when you work that down the ear canal so I prefer to lift that off using the
suction I'm maneuvering to a better position and
for Jobson horn if we need to you that soon as you go to the outer part of the
ear canal now so I can actually get behind the ear wax not touching the ear canal
walls there you go and just maneuver this out now so a lot more comfortable
for the patient to do it that way and there we are you can see lots of hair and bit
embedded in there another deep piece of dark ear wax here you can see some dry
skin there to the right hand side so what we need to do with this ear wax it's
difficult to get a good grip on the outer part because the it's it's all
matted with here on the outer sections you won't get a good grip so what I'm
going to do is bring it forward and lift it which then gives us the smoother a
edge underneath you can see ok the better grip on there and there we are it's the
deeper piece removed and it's one more piece left in there you can see it
sometimes its a case of just turning it together into a better position first
before you get get a good enough grip to take it away and just see the eardrum
underneath there here we are
and there's the eardrum all looking really healthy so this is what we
removed guys this is what removed in centimeters so you can see it's roughly
around about the seven centimeter mark and this is what we removed in inches so
about two and two and a half to three quarter inches there
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