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
everybody this is Rhys barber from audiology associates thank you very much
watching our ear wax removal compilation video today so two patients in this
compilation this first patients comes through they've basically just had a lot
of reduced hearing no pain or anything but what we can see here is quite a
large blockage of ear wax deep in the canal so roughly about half way down the
front end of this ear wax so just very gently stripping this ear wax out with
standard-size zoellner tube here so really just peeling away the outside edges you
can see it's a bit of an awkward shape for suction because the top portion of
the ear wax as you look at the screen there is coming forwards or jetting forwards
not a nice solid shape to get a grip on it's quite angular so we're stripping
away all the outside edges first to try and get a better grip on this ear wax
because it is firmly wedged itself half to two-thirds of the way down the ear
canal so you can see you've got lots of bits of dry skin here all around the
outside edge of this wax so we're trying to strip that away because it's gonna be
holding onto the ear wax and it interferes with the suction as well as we're
we're suctioning in here what we're doing when the ear wax is this deep is we
need to try and sort of establish where the eardrum is as well so we don't wait
so you'll see me suctioning at the bottom of the ear canal very what I'm doing
is almost undercutting the ear wax slightly so when I pull on the top section then
hopefully it will help to pull that ear wax down and we can peel it away from the
ear canal walls a little bit more effectively thanks for everyone who took
part in the poll we put on our channel as well the other day asking what you
guys would like to be called and the overwhelming majority came up with waxoholics
so that looks like the term we have to
use to address anyone who loves watching ear wax videos so still under cutting
this ear wax at the moment there now we can just start to see the eardrum there okay
so that little blue circle you can see is the eardrum so we know the kind of
depth to working with now as far as this ear wax is concerned so now we've undercut
we can start pulling down from the top so we can see see little gaps you can
start to see the eardrum now from behind this ear wax I can see as we're suctioning
this that the left-hand side of ear wax is tucked behind a little bump in the earcanal
so that's going to prove a little bit more awkward to remove just because
obviously trying to accommodate the tools in there but you can see we're just
stripping away strip away the right side so what I'm going to try and
do is get a grip on this piece try not to touch the ear canal wall too much you can
see it's just all getting sucked in luckily and coming away in nice big
chunks so clearing all the way around and just take this piece away at the top
here you really don't want to leave ear wax in that top portion of the the ear canal
above the hammer bone it's called the attic region it can become quite
problematic if ear wax is left there you can see we're just lifting there we are the
ear wax away I've got a little bit of ear wax here at the top of the ear canal so I'm just
going to try and get that away if we can I'm not so worried about the lighter
colored material to the right hand side there's more newly formed ear wax
he go just taking bits of the other way but a dry skin there and there was the
eardrum now this is the other side so this is the same patient for the other
ear there was a little bit of ear wax in here so the patient's we showed the
patient what was going on in there they asked if we could just remove this for
them at the same time this isn't causing any problems on this side so the patient
wasn't even aware they had any ear wax on this side just because there is quite a
large hole in the ear wax so it means the sound can get through to stimulate the
eardrum so we're sticking with the standard size zoellner tube here just
working on the ear wax at the entrance to the canal first it was jutting out quite
a way at the entrance and what you found with some of these pieces the ear wax can be
connected from the front down to the ear canal right the way to the back which is
what's happened here a little bits of dry skin dry a bits of ear wax getting
sucked in there okay so now we're going to work on the deeper section of
ear wax now so even for the bottom there because this is in a slight groove if we
can aim for the bottom we may be able to lift it out there like that you see so
we broke the seal at the bottom of the ear wax canal wall and then we took
this took this big chunk away little tiny bit there to the left hand side or
Hoover that up here he goes bit of tidying up I'm so you can see the edge
on there as well looking nice and healthy so this is what we removed from
both sides or lots of little smaller pieces compared to what we normally get
out that's it they're an inches so this is our second patient of compilation
this patient obviously does have quite a lot of hair in the outer part of the ear
canals but quite large large pieces of ear wax in here as well so I thought it was
a good one to put him a few guys
obviously the first section here you can have a little bit of hair obscuring the
view but as we get a bit deeper in then you're gonna see much larger pieces of
ear wax so this wax is darker in color so that's going to indicate to me that it's
a little bit older and sometimes when you have very dark ear wax like this it can
also mean that the ear wax is a little bit dry and so what we get is
a much stickier more malleable pliable type of ear wax so very sticky so as you try
and pull this out what's gonna happen is this ear wax is gonna start sticking to the
ear canal walls on the way out of the ear canal so what we're gonna try and do is
maneuver it around so that we unstick it from all the ear canal walls first and then
try and take this out in larger pieces so you can see that's what we're doing
at the moment it's just trained to break this down you can see it we've got a bit
of movement to the top so we're concentrating our efforts there first
but can you see how sticky and kind of it's almost like a crumbly stickiness
it's a really strange consistency at this type of ear wax there you go so you can
see we're trying to lift from the base of the ear canals I can see there's quite a
that large piece they were stuck holding this ear wax in so we're just
trying to lift that off the ear canal wall at the base of the ear canal there so we can
try and get a little bit of a wiggle to this ear wax you can see it's starting to
come away now in bigger pieces so here we are perfect now what I wanted to show
you here is a retraction pocket that's what the arrows pointed to there and I
said on the video before it's you shouldn't really leave ear wax in this area
see it's got slightly depression there that part of the that part the eardrums
is sucked in a little bit more than the rest so you end up with this little dent
now if you get ear wax and skin debris in there and especially if somebody's prone
to ear infections that would be a precursor for possible cholesteatoma now
that one looks nice and clear so no issues there if there was any ear wax in
an area we would clear that out and you can see that's why we had to take that
ear wax away on the other patient because you don't know what's behind it so you
always got to check that area of the eardrum so yeah definitely worth looking
at that one now this is the same patient with the second ear so much drier ear wax
on this side so we're going to go in with the Jobson horn looking for any gap
in the ear wax sometimes you get a nice gap at the top so closer to where the
the top portion of the ear canal there to get behind it no obvious gap here so
what we're doing with the Jobson is breaking a chunk at the front here
tidying up them with the zoellner tube so suctioning all the smaller pieces of
ear wax into the tank here at the front so just stretching pulling this ear wax from
side to side area just trying to unstick this from the ear canal wall you can see
there's a little bit of hair in here as well which isn't helping because it's
binding this dry ear wax together trying to lift it off the base of the ear canal
because it's really stuck here so if I can and you can see it you get a little
bit more there you see a little bit more movement to the ear wax now it's a little
bit of dry skin down there as well which has been holding this in trying to
maneuver that dry skin out but now we've unstuck it let's try and get behind it
now with the Jobson brake a little bit more away back in now you can see just
how kind of it's that sticky crumbly stuff again on this side with a lot of
hair matted into it as well which went doesn't make it easy to remove so just
taking with I do show you at the end what what came out in this ear as
well see now we've taken the center section the top portion of the ear wax has
come away at this bottom section where it's been against the ear canal wall the
jobson horn didn't dig into that so we're using the zoellner tube just to tidy
that up you can see what now we've broken it down we get a lot more
movement to the ear wax much bigger pieces coming away so while it's like this
we'll carry on using the there's on the tube so it's nicer for the patient they
fit because when you put a Jobson Horning in of it when you push down the
patient feels a little bit of pressure against the ear canal wall so it can be a
little bit uncomfortable not every patient likes the sensation of the
Jobson horn so you see we've got a deep peace now so same again working on the
bottom unsticking it there first lifting it
there we are getting a little bit of movement piece sheared off so we're just
going back in quite a hard plug this last bit you can see that most people
have this kind of little valley at the bottom that's pinching at the bottom of
the ear canal there so I'm just using the Jobson horn I'm sorry
the zoellner tube to hold on to this ear wax and try them and over it outwards so
lifting to try unstick it there now we're starting unstick I can see the
sheen of the eardrum as well underneath okay so the bottom sections gone we're
just going to clear the top section now so we can see I want to take a look at
the attic region on this one as well just because obviously the patient's got
a retraction pocket on the other side so it's definitely worth taking a look at
so there's the ear drum I was a little tiny bit of ear wax there just jutting out
on the ear canal wall so I'll just go ahead and grab that not going to cause any
problems but I'll just get rid of it so there's the retraction pocket on this so
- there is one not as pronounced as the other side but nice and clean so that's
good and the eardrum looks lovely and healthy so this is what we removed in
centimeters you can see there is or up to about seven and a half maybe eight
centimeters there and the same in inches or three inches of just over thank you
very much for watching our video today if you did enjoy the video then please
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always guys until the next time take care