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 barber from audiology associates thank you very much
for watching our video today we have an earwax removal compilation for you today
we've been looking at the comments we've had over the last four videos and we've
decided that what we're going to do from now on is instead of posting just one
ear wax removal in every video because you guys like longer videos so what we're
going to do is bunch a couple together so maybe two three ear wax removal so you
make the videos a little bit longer so do a compilation every Tuesday every
Friday for you so this is a earwax removal today so we have quite dry ear wax you
can see it's really holding in there quite tightly we using the standard size
zoellner tube to start us off on here just to try and remove this you can see with
the the dry ear wax like this how tuff this is so it's just not really budging
that easily so I'm to work it up and down a little bit just to just to try
and loosen this off the ear canal walls
you see it's really stretching as it's coming out to the ear canal so we're just
working it out a little bit then moving the zoellner tube deeper
onto the ear wax so we can get a better suction grip and then moving it out
again if you're not already subscribed to the channel guys don't forget to
click on subscribe and that way then you get a notification every time we post a
new video so you really starting to stretch it's not really budging with the
with us on there so we're just gonna go in with some crocodile forceps now
I've got a little ledge of earwax here that we can get a grip on so that's why I'm
carrying on with the forceps at the moment here you go you can see we get
into the the deeper ear wax now that's much darker in color so back in with the
standard zoellner - a little bit of tidying up in here you can see a little
piece of dry skin there to the left-hand side of the canal
it's just lifting off the ear canal walls away we're gonna try and take that away
with this bit of ear wax as well here you go just starting to work its way out
just getting a grip on this much deeper earwax trying to bring it forwards to get
away from the eardrum
dry skin is quite common in the ear canals we get a little bit older we
don't produce as much oil in the ear canals so you tend to find that the ear canal walls
then will start to dry a little bit so it's quite common to get these dry skin
issues that then can complicate ear wax migration as well because it's the ear wax
can't pick up the oil as its traveling out to the as the ear canal there you go
starting to get some of the deeper bits in here now so we've got a piece now
that's rest and right up against the eardrum so gonna be really careful with
this just staying away from it bringing it towards us
you can see where it's formed around the outside edge of the eardrum there so
we're using a much thinner fine end just to get a little bit more delicate
delicate suction there you go so starting the pull of the way you can see
it coming away now to the corner and there we go okay just a tiny bit there
just to get rid of lots of people in the comments would say why do you not get
rid of these other little dark patches on the eardrum that's mainly because
those dark patches are just little bits of oil more than anything else um very
thin ear wax it's not going to cause any problems with the eardrum movement so
yeah all looks good in our side so moving on to the second year the same
patient now you can see we have much softer wax on this so I'm much shinier
ear wax I should take is it sometimes hard what's gonna be a quite shiny as well so
back in with the standard zoellner for this one
can see how sticky this ear wax is it's sort of drawing in long strings as you start
pulling on it there's a little bit of loose skin there you can see the top
portion of this ear wax has got a bit of loose skin as well so just wiggling up
and down which helps to loosen the ear wax out there you can see that skin there
attached to the front end of that earwax
okay a little bit soft ear wax deeper in
so we'll try and stick it from the ear canal walls first there we go and that
there intends to pull the center section of the ear wax forwards a little tiny bit of
hair embedded in this as well there we are
much deeper piece just coming out now
here we go and there we are there's the eardrum or looking nice and
healthy so this is what we removed guys you can see where this ear wax was
stretching as we were pulling it out so you can see they're quite long thin
strips here's the three tools we use we've got the crocodile forceps standard
zoellner tube in the fine end if you don't already follow us on Facebook
check out a Facebook page out and drop us a like and if that would be okay with
you guys okay so we're moving on to another
patient now so that you can see this ear wax is quite wet this patient's be using
some drops to soften this before they come into clinic today so standard size
on a tube again this kind of consistency of ear wax tends to be a little bit easier
to remove then you know the very wet earwax or the very hard ear wax just because it's
it tends to pull away from the canal walls a lot more easily so you can just
see just an a versus like kind of wiggle as we got the suction grip on this so
the suction is holding on to this ear wax and then we're wiggling up and down
because we've got to work this earwax down the ear canal so it just helps us to work it
out and there's always a slight Bend as you get to the outer part of the ear
canal so you have to work it around that Bend as well to get it around the corner
so now all you have to bring it for us we have to bring it round to the side as
well which isn't always as easy as it looks so I'm just breaking some ear wax away
from the edge which gives me a little bit more room to maneuver this earwax
around the corner there you go that's just broken away a little bit there
here we are that white stuff you could see the bottoms a bit of skin and
there's a lovely shown eardrum so this is same patient a second year now so
we'll just go in same kind of ear wax obviously they've oiled this side as
well yeah we don't just see it starting to move easy a little bit of dry skin to
get rid of that there we are lovely showing you drama now so these
are the two plugs that we have that came out of the ear here you see they're
quite dark in color and one of the questions that came up in the comments
is why this is the wax look different color in here than it does out of the
ear just purely down to lighting with the endoscope we've got a very bright
white light inside the year which gives the ear wax a slightly different hue then
when you're looking at it on the towel at the end just because you I'm shooting
out basically one with a with an iPhone camera so you can get a look at that so
we've got some very dry earwax this time so you can see the difference in color it's
much duller you can see it's a lot stickier blesser this lady was was was a
92 year old lady the came through to have this done so we were staying
earlier on in the video that I'll be a Canales tend to dry a little bit so the
ear wax dries as exactly what's happened here so we're just going to use the
Jobson horn just to get behind it very gently roll this ear wax down the canal
there you go you can see it a little bit of hair in there
pray golden in color here's the eardrum there so this is the other side of the
same patient so quite dry on this side as well so we're going to use the
zoellner tube just to get a grip on this
you can see how well because this is dry the wax have become really sticky
it's stuck all to the ear canal walls around the edge as well as in the center there
so just trying to loosen this earwax off the ear canal walls first just to make it a
bit easier to take away here we go a
little bit more further and it's obviously broken in half this one yeah
just wiggle in that last bit out
brilliant and don't forget guys if you do have any questions you want to ask or
if you've got any comments pop them into the comment section below
questions will answer with the question video a bit later on so there you go you
can see the three pieces we took out here you can see the difference in color
you've got some lighter ones you've got the darker section all the ear wax in the
middle there as well
you very much watching our video today if you did enjoy the video then please
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always guys until the next time take care