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 for watching our ear wax
removal compilation today we have four
patients in this compilation you can see
this first patients got some very very
deep-seated ear wax press right up against
the eardrum so using the standard size
as on the tube here just to go in and
maneuver this out so we just got a grip
on the base just trying to lift it over
that gap just in front of the eardrum
here we are now it's a bit too big to
fit out the ear canals we're gonna have
to kind of just move this around a
little bit just to try and get that top
edge underneath that little lump at the
top look and now here we go just
maneuvering it around the outside there
it is not quite there you go and we take
a look back on that you can see drum
looks nice and healthy so this is what
we removed you can see it's or just over
a centimeter which is half an inch yeah
so we're coming up to our second patient
in the compilation so this patients come
through more with discomfort than any
type of hearing issue what we can see is
a piece of very very hardened up dry
ear wax here I want to get a good look at
this gap at the top because this type of
here works is great for using things
like the st. barts hook where you've got
a nice big gap at the top it's sitting
away from the eardrum so we can get
behind it so we're just kind of pop the
st. barts hook in here a patient has
used a little bit of olive oil so you
may see a bit of olive oil smudging the
YouCam or in a bit but what we're trying
to do is you can see just how hard that
ear wax is is get behind the ear wax here
and pull forwards you can see how hard
it is really you having to really kind
of put a lot of pressure on it from
behind so I'm just gonna pull some of
these top section pieces away if we can
so I can get a good idea of what's going
on behind there and the sort of angles
we need to do to get behind this ear wax you
can see just using the flat end of the
st. Box hook there just a poll excuse me
sorry Paul the looser debri forwards so
we've got a good grip behind it there
you can see just pulled through the ear wax
there rather than actually pulling it
out itself so we're gonna use the
microsuction just to clear away some of these
broken weigh pieces which is gonna make
it a little bit easier for me to see
what's going on behind here we are just
touching the outs of those you can see a
little bit of olive oil just pressing
over the camera from the little tiny
hairs on the older part of the ear canal
there so just going in there with the
same pass hook again just trying to get
behind there we are it's just on the top
there I think that's got a breakthrough
yet so if we just try and go behind it
again there's a slightly awkward angle
to this ear wax in that the top looks quite
flat but it's actually quite a deep
section behind it so we're just getting
behind that here we go rolling this fold
using the the drop of the same bartók
I'm sorry to bring this forwards there
we go you can still see there's a lot
left behind you can see what it's been
really stuck to the ear canal wall there's a
little bit of pinkness to the skin
underneath so we're gonna use that it's
on the tube here just to lift lift this
ear wax off the base of the ear canal just
wiggling it back and forth as you can
see there's a little white dead skin
underneath this ear wax as well so trying to
get rid of all that but it's really
tough old stuff this it's not budging so
out come the old trusty forceps we're
going to get a nice leading edge here so
we'd get a good grip on that nice nice
real firm grip and just slow but steady
pressure and OD comes you see all that
white skin that underneath you can see
the pinkness their eardrum looks great
though so the first section at half a
centimeter was the first we took away
the second section was that bundle of
kind of dead skin and really dry ear wax it
was against the ear canal wall you can see
the st. barts hook there above so third
patient now in the compilation things
were halfway through this patients come
through with reduced hearing on one side
so what we did here we use the standard
size on the tube just to start
maneuvering this kind of dry stretch
here kind of ear wax you can see that we got
going on here I'm quick thank you to
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it's really appreciated you can see
we're struggling a little bit here to
get a good grip with this type of ear wax it
is really sticky so I'm trying to
maneuver this off the ear canal walls first
of all not always the easiest thing to
do but it's gonna mean we're gonna get
this a lot more easily if we can do that
you can see the whole thing now starting
to move was done and get a little bit of
a wobble to it so excuse me the bottoms
unstuck we're just aiming for the top
section now you can see it's starting to
pull forwards there we are
to the bottom edge moving so we just try
to maneuver this out keeping it away
from the ear canal walls as much as we
possibly can so last thing I'll do is
move it from one position just just
stick it to another one so really trying
to get this thing moving the the wiggle
is coming into play now but it's not I'm
not getting a really good budge here
I think what's happened here is we've
actually really pulled the bottom
section the top has become stuck to the
ear canal that the roof of the ear canal wall so
if we can get that bottom section away
it means we can pull the top down now
into the gap we've just created there
you go so you might have to get a bit
more of a wiggle to it now detaching it
from the ear canal walls so we've got a much
drier piece now sitting behind it and
there is actually a very deep dry piece
there as well now we've created this
kind of angular edge here which isn't
always the best sometimes to get a good
grip on with the microsuction tube so you can
see I'm avoiding the very front section
and trying to get a grip behind it but
that's too much of an angle to get a
grip on I either with Sol opt in to kind
of wiggle it up and down there you go
we've learners to get a grip and that
long sections come away now what it's
left is this very deep piece now you saw
a piece similar to this in the first
video but this one's actually attached
to the top of the ear drum and really
firmly attached they've dried onto the
ear drum so what you'll see now is when
I get a grip on this with the microsuction
and move you'll see the whole drum
starting to move okay now we don't want
to just go ahead and yank that out
because it's gonna cause a problem so I
told the patient to go away and oil it
for a week and this is what happened to
the reason when we when they came back
so they've managed to oil this up for a
week so what you'll see now is when we
get a grip on this they see how much
easier that was to detach you know that
if we'd if we'd really pushed that at
the first visit that would have been
really painful and it could potentially
have caused quite a lot of damage to the
ear drum so I'd much rather get the
patient back in on the second visit
after they've oiled for a few days and
it just helps their just a loosen that
off the eardrum unfortunately I forgot
to record the bits that came out on the
first visit so that was just the last
piece that came out on the second so
we're down to our
fourth and final patient of the
compilation this patients come through
with some blocked up ears not really
hearing particularly well at the moment
we can see really dry hardened up ear wax
this is you know barely budging when you
put the microsuction tube on top of it we're
trying as always to detach from the
ear canal walls first but not a great deal
of room it's quite a long piece so I'm
gonna try with the crocodile for so
sometimes we're lucky and it stays
together quite nicely but as you can see
with this kind of ear wax as we're pressing
into it with the crocodile forceps Rios
this this kind of hard or out dissection
softer middle section kinda like an
armadillo kind of ear wax hard on the
outside soft on the inside so what you
can see here is it's really not really
not coming away very easily with the
with the crocodile forceps it's just
pinching and pulling through the ear wax so
brought the Jobson horn now sometimes is
a bit easier to get to get these pieces
out with with with the jobs and just
pressing in you can see how soft once
you get through that harder sector of
soft that ear wax is in the scent that's a
really thick soft tacky kind of ear wax
this one so I'm just working my way
around the outside just to train mainly
to try and get rid of this front section
you can see here I want to find out
where it's attached so I can get rid of
that there you go gives me a better view
behind then allows me to get in with a
camera a little bit further so we don't
have it pressing into the actual ear wax
itself just taking away little pieces at
a time now in the next section there you
go pulling that through there sometimes
you can use that harder outer section to
your advantage as we did there you can
get just above it and pull forward
sometimes bring that whole harder
section forwards you can see we've
scooped a little bit here so we've put
some olive oil in just to soften and
take away some of the sticky edge
obviously gravity's going to pull out
oil down to the lowest point so we're
gonna work here on the lowest section
trying to lift it up on wiggle to work
the olive oil underneath to remove the
stickiness or it does help us to pull it
out at the ear canal
a little bit more easily just broke away
there a little bit but by working on
that section would have worked some of
the olive oil down the side of that ear wax
you can actually see a little bit of it
smoo in the lens on the camera there so
we've got a grip you can see there's
movement now at the bottom its GS
starting to detach away from the ear canal
walls there's a little bit of room for
us to wiggle back and forth which is
which is happening there so there you go
actually get some up-and-down movement
now to work it down the ear canal it's got a
little bit stuck but it will come there
you go so out that section pops as well
and there's the ear drum they're all
looking good so this is the same patient
but their second ear now is the very
last one of the compilation so we can
see we've got some really hardened up
ear wax there there's a slight gap at the
top not big enough to get a tool through
though so we're going to spray a little
bit of olive oil in let's detach some of
this detach some of this first so you
can see we're trying to lift our base
section there away from the ear canal wall
but because it's quite a large chunk
there's not enough room to get enough of
it two taps from the bottom so we're
gonna use the Jobson horn again and
because this ear wax has that same
consistency as the other ear this outer
harder section there you go we can get a
grip see pulling the whole thing there
you go and there we are there's the
anomaly on the side so this is what we
removed so you can see a quite some
quite quite large chunks of ear wax in there
very massive variations in color as well
well thanks for watching guys you very
much for watching our video today if you
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