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 hi everybody this is Rhys Barber
from audiology associates thank you very
much watching our video today you can
see this first patient has quite a large
blockage of ear wax and there's a little bit
of dry dead skin here at the entrance
we're going to remove that with a
suction tube first of all there we go
now you can see that we've got this
harder section of ear wax in the center
there you'll just see a little bit of
that skin look just creeps underneath
around the edges so what we're going to
do first of all is just work on the
edges here trying to loosen this ear wax in
the ear canal
maybe I'll just pulling it in you can
see to the center all the way around the
edge there
there we go you can see it you can yeah
see this this outer hardened edge of
skin here that's just pulling away so
we're just going to pull that and keep
moving that forward that's just going to
detach from around the outside edge of
the ear canal it's been sitting between the
ear canal and the ear wax itself so if we remove
that first of all just slowing
everything down so you can see this
coming out you can see the white bits of
dead skin there at the back end of this
as it slides from around that ear wax here
we are so that's that kind of sleeve
that's around the outside of this
blockage so just get rid of that and
that's pulled the actual blockage itself
forward so let's hang on to that now I'm
bring that out using the suction there
we are so you can see just a long and
angular that little piece was so it's
quite wide at the front end but tape
this down at the back this here I'm
looking quite dull no light reflex there
today you can see this is what we have
what we remove so you've got that that
skin sleeve they go into just under a
centimeter and a half and then the plug
then going a little bit further so just
look honest me what's that ensure a
quarter is it there abouts I think so
this is the second patient a compilation
here now this patient is familiar to us
they've been through a few times before
you've seen a few of their videos before
they have the same issue whenever they
come through they're a very dry skin
issue which forms like a very dry hard
skin sleeve on the inside of the ear
ear canal we can see we've got a bit of
blockage here so I'm just gonna sit not
when they've come through in the past
we've had to use crocodile forceps to
remove this so there's a little bit here
just to the right side it's want to pull
that out of the way and I can see
there's a gap to the top left hand
corner so I'm going to use the st. barts
hook here if it's a solid block that
this will help to pull it out but as you
can see as we pull forwards can you see
it's two overlapping flaps of dry skin
that have closed off the entrance here
but there's actually a sleeve of dry
skin further in so we're gonna use the
crocodile forceps
the reason being if we try to use the
st. barts hook on this one it's so close
to the ear canal wall you just be dragging
quite a thin section which is the end of
the symbol I took along the ear canal wall
so it's not really gonna have the
desired effect of pulling this ear wax at
this skin out I'm sorry so we're using
the crocodile forceps you need a really
good grip because it is securely
securely fastened to that ear canal wall
we've managed you just to pull it
through very slowly using really slow
and steady pressure so we don't tear as
much as that as we're trying to just
keep that grip you can see it's G s
pulls through that a little bit there so
we're gonna alter the grip now we've
managed to pull it further forward so
you can see it's actually sliding across
the ear canal wall here it comes there we
are we've got the detachment we wanted
there and the whole thing comes out in
one big piece so there we are you can
see it's really dry sleeve of skin
almost form to the tyre ear canal look can
you see that that's a very thin I'll
show you in a bit more detail when we
put it on to get through a little bit
later on and when we look behind that
there's the eardrum there you can see
the pinkness here to the ear canal wall we
were just taking on the way look at that
me that's two and a half centimeters is
almost the full length of the ear canal you
can see it's just a thin layer you know
I couldn't use the st. Bart's hook it's
such a thin piece there was just under
an inch inch long there so yeah you can
see it's all come away
coming one piece really nicely thank you
very much for watching our video today
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always guys until the next time take
care