hi everybody this is Rhys Barber from
audiology associates thank you very much
watch our ear wax removal video today
and another trip down memory lane for us
today so these are videos that we did
about two years ago they didn't have
voiceovers originally so we just go back
over invoice in these over I will stay
in the screen so I'll stay down here in
the right hand corner through the whole
thing so you can see what I see and how
I react to things as I'm seeing them I
haven't watched this video for two years
so without further ado I'm gonna pop the
glasses on we're gonna take a look at
this to see what we've got in store
today okay so at first glance this ear wax
was really really dry it's got a much
lighter colour you can just tell by the
texture and by that the fact those
little flakes of dry skin at the
entrance to the ear canal this is dry we're
going straight down with the st. Bartok
it looks as though I've probably already
carried out the procedure on the other
relook at this because there's a little
bit of ear wax on this on the st. barts hook
here so I'm trying to get behind it to
what looks like roll the ear wax forwards
it's got a slightly sticky a texture and
kind of tilted my head to the side is
the hole the hole you get a soft 90
degrees so it will just try to get
behind a roll this section of ear wax for us
there we go it's just starting to roll
down trying to get behind it and using
that the the thin end of the same box
were to get behind and pull it forwards
we've got a nice big chunk there can see
just so dry that is order few more bits
and pieces in there there's a layer of
dry skin around the outside edge of the
ear canal there and then we've got this this
bigger section further end so I need to
try and get behind that with the actual
90 degree Bend on the on the hot so to
get behind the ear wax and pull it forwards
just rolling it down finally some of
these ear waxes is when they're very dry
like this there might be a piece of dry
skin holding everything in I'm tidying
up now with the Jobson horn yeah you can
see there's a long strip of dry skin
there as we're getting older you can
stereo you see just peel away excuse me
and there's a bit more dry skin behind
that as well so we've got the Jobson
horn in here now getting
it's better with a job small you can get
a really good flat a good flat pressure
on on top of the dry skin and you can
pull the whole thing forward staying
with the same part up because it's a
very thin end or just kind of drag
through the middle of it so you can see
all these dry lumps just pick them up
too to get a good look at their this was
obviously pre ruler days so we didn't
know the ruler to measure it out about
there it was quite a bit came at that
one ear okay so this is our second
patient today will say that took again
um we've got a little gap at the top of
the ear wax I'm trying to get behind it but
the the section behind that front
section you can see is just slightly
higher so I've got to pull this front
section away first so the good grip
there I'm trying to use the structure of
the ear wax to bring it before is actually
broken up front end off because the ear wax
is slightly u-shaped I was putting it
behind the front section use their the
the hardness of the ear wax to pull it
forward now I'm trimming it behind that
next section there we go using the flat
side with it but the safe-box hook you
can I use that that the 90 degree angle
sort of behind and bring it forward or
you can tilt it and use the flat edge
which is one due to drag the ear wax down
looking at how that's cut all the way up
now it's loose but look at how that's
coming up see the back end of it is it's
wobbly on footing you can see the back
end is still attached in there that's
gonna be a piece of lore you look that's
a really good piece of dry skin attach
the back of that it's actually you can
see how much more there was behind it
red there was no way that same box was
give you a behind that I've put some
olive oil in here to train loosen this
up the difficulty I thought that as you
can see there was a little bit of dry
skin on the Left ear canal wall now as you
pass over like the suction it
automatically flicks up into the into
the end of the suction so what I'm doing
here is using this on the to try and
bring this deeper section much further
forwards but that large flap of dry skin
just flicked up in the way of the
suction there I don't like this is going
to come out without has taken a piece of
dry skin away first try to work the top
done what I'm doing though is trying to
use the wiggle tit to slowly draw that
top section down and around
and that piece of dry skin nose lifted
you can see if my left ear canal walls going
into the suction now which means it
should start budging in a second or two
it's really held on there you may well
here at my son and daughter in the
background there they're just there just
behind me the other side of the wall
just slowly they door which now we start
peel that top section tip it's sliding
around the side that initial section of
ear wax
there we go so that's broken away which
means this this lump is gonna be a
slightly smaller I'm trying to get the
the same pass hook now behind it to draw
this forward pressing into it and a good
grip on that hard a section of ear wax there
think it might yeah it's good it's just
slightly too soft it's pulling away so
I'm using it to push the top down and
pull forward push the top down profile
just to bring it through slightly there
he goes yes starting to come away
there's gonna be a good piece of dry
skin there's got to be attached to this
cuz it's really healthy and they're nice
and tight struggling to get a grip I
like so much I don't know it's difficult
to get a grip on him some things when
you take about the ear canal so we're
almost at the stage ago so this is the
indication you could see a little bit of
dry skin at the base of that block
difficult to get behind him using that
end and the sink box with the press down
open the gap there we go that we've got
a good gap you can get behind that pull
it forwards oh it's really holding in
there something's attached to it
yeah you can see that long strip look of
white stuff at the bottom that's dead
skin coming away there and the eardrum
actually looks really healthy lovely
shiny light reflects there so you can
see we've got the ear wax and dry skin
together there and I suppose quite
sizeable pieces and that patients ear
ear canal yeah I was really good very doing
that so what we had there was a lot of a
lot of dry skin now you can normally
tell it's going to be dry skin when we
look in the patient's ear canal just at
the entrance to the ear canal you would have
seen lots of little lifts like little
triangles have kind of dry skins are
going in that's normally a good
indication that ear wax then is gonna be
really hard behind
I opted to use the sink bath took a lot
in that one in those two patients I have
kind of mixed feelings about the same
butter it's a great tool if you've got a
very specific set of circumstances it
works really really well for some of
that I probably would have used two
Jobson horn these days because I find
it's a much better tool for some of
these dry skin you can you can work it
between the edge of the ear canal and
the layer of dry ear wax that you tend to a
bit of dry skin to go hold it in place
you could work that jobs and on in there
and pull it down then to get that out
but the same box off also works really
well if you've got a bit of a get if
you've just got enough of a gap that
will safely accommodate the the kind of
90 degree angle on the end of the
proceed button you can go past the ear wax
tilt which gets behind it and then
you've got this kind of pole effect if
the ear wax has sold enough then that pull
effect will pull the whole thing out if
you've got slightly thinner ear wax or
slightly softer core to the ear wax what
tends to happen is as you put that in if
you imagine it's quite a thin angle like
this as we put that very bit see as we
bring it forwards then what test happens
you cut straight through the middle our
ear wax and you end up causing it like a
gully in the middle which separates the
two sides off which is gonna be a little
bit harder to get out but you do tend to
find you've got this this kind of harder
ear wax so that job some wants it back so it
does tend to look quite well if it's
really really hard
crocodile forceps or a dream for that
table ear wax you get a really hard plate of
ear wax their crocodile forceps with a Kevin
you're gonna hold on tight it's gonna
really pull that out well yeah a few
different things you could have used in
there um well I really enjoyed that I
was good fun I hope you did too if you
do it if you are enjoying the video and
please like share with your braveness to
do so or subscribe to the channel there
are gonna be I think I've got two more
ear wax more videos left we are looking at
we have been sort of changing things
return your PP so we can get back to
work that's probably gonna be in the
next three or four weeks I'd imagine so
fingers crossed things will go back to
normal for our end but I hope you guys
are all doing well I know
Kolbe 19 is certainly touched our family
and I hope you guys are all doing well
okay I hope you're all looking after
yourselves I'm one another please guys
really take good care of yourselves we
will be back on
stay and I shall see you that