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
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[Music]
everybody this is Reese barber from
audiology associates thank you very much
for watching our video today so we've
got two patients in a video so the first
one here is a wet ear wax removal stay
tuned for the second one which is a dry
plug that's a really good one to watch
but this first patient he has come
through with very reduced hearing on one
side actually managed to clear their
other ear using olive oil themselves but
this one hasn't quite cleared so what
you can see is we've got some very soft
ear wax where the patient has been softening
using olive oil so as we get a grip on
this with the standard size on the tube
here you can see it does get sucked
inside the machine here we are so it's
all coming really nicely you can see as
we pull this out there's a little bit of
dry skin or maybe rather than dry skin
maybe over moisturized skin but it was
originally a piece of dry skin though
they just come away from the ear canal but
with the use of olive oil it really
softens that back up which is the piece
you can just see there that I'm sucking
into the machine see it looks a little
bit different to the rest it's much
smoother and it's attached like ear canal
wall so you can see the difference
between the two and try to use that and
that little bit of ear wax there to anchor
it all and pull it all out in one piece
but you can see where it's been a bit
over moisturize with the olive oil use
it's just started to kind of collapse in
and break away a little bit more we are
just working on the bottom section of
lifting you can see the ear canal walls are
just the top leaves just separating away
a little bit just that's your first
glimpse of the eardrum they've got this
piece of skin is falling down from the
top of the ear canal walls we'll get rid of
that see how long that strip is they're
coming away so where the olive are going
a lots and lots of should save olive
oils gone in it's really over
moisturized it all in there and just
caused a separation of top skin layer so
we've got all that ear wax pulling away
nicely now so we can see the eardrum
there just gonna use the standard size
sorry the fine air now just to get in
here and take this last little bit away
here
you can see as inadvertently just took
another piece of skin off the top of the
year drum there
yes lifting just working away long now
this bottom section here is where the
olive oil is pooled so it's actually
pulled in that little valley and it's
really turned all the ear wax there to a
very liquid mush so what we've got now
is just discolored olive oil basically
so just using you'll see it as the fine
and get stored it you'll start to see it
getting sucked into the machine there
there we are see this little kind of
poppy there you'll see the little bits
popping into the end of the suction that
there you go so that's just literally
just a little pool of olive oil so we're
just suctioning that away there we go
and we're just going to work along this
piece here just to see this is just all
of us as you can see it as we go over
this up it's just colored oil basically
this gets being sucked into the machine
here I'll just work our way down this
right ear canal wall now you see a very thin
piece of skin there just getting lifted
and now we're just working our way back
from there just to see a bit of all the
way all the way they were up you can see
the ear drum there lots of bits of water
left on it you can see the long strip of
skin that's the bit there goes up to
about a centimeter and a half just a lot
of an inch to three quarters of an inch
I should say so you can see that this is
a lot of what came away was mostly skin
Debbie what you can see outside but then
in the tank there's gonna be the softer
ear wax Deborah you can see so very
interesting case this one patients come
through with when you saw in the last
patient we had dry skin it'll be
moisturized again with the olive oil
introduction what we have here is a
patient that has lots and lots of layers
of dry skin that's separated from the
ear canal walls and have formed a plug in
the ear canal so this is rock solid so
obviously no oil in here so we've got a
very very hard pieces of skin that's
formed into a really dry plug now the
new best way to describe this is if you
have say a lift of skin anywhere else in
your body especially if you get the
little ones by your nail and it goes a
very dry hard piece of skin then because
it's no longer the blood supply attached
to it
that's what this is like so imagine that
in the ear canal so what I'm using here
the sections not gonna be able to pull
it out it's not gonna be strong enough
this is the Jobson horn so I'm trying to
use the Jobson horn because sometimes
you can get this out in one big piece
and you can actually see the layers
separating in here from the ear canal wall
so that the white de material there's
actually skin now whitish yellow color
but it is rock solid so it is very very
hard we're gonna because we got a
flattened out section here we're gonna
use the crocodile forceps forceps can
sometimes be really handy because they
can work their way underneath that Ridge
of skin and be able to get a good good
grip but it's always difficult to remove
especially these big hard drive plugs
because they're held against the ear canal
wall in so many places you have to put a
lot of pressure on this to get it out I
mean we are really pulling on this
you'll see where it separates now see
it's snap away there because you are
pulling against all those adhesions of
dry skin around the outer part of the
ear canal now this is layer upon layer
upon layer upon layer this folded in
folder then folding it and dry it into
place so these are really tough old ones
to remove and because if you do use
something like a jobs on home which is
we're just going back in let's see if we
can loosen this a little bit to give the
crocodile force that was a better chance
what you'll see is that you have to
press down onto it to pull it out we're
course and you're pushing hard plug
against the ear canal walls you get a better
idea here look because you can see where
I've separated top and bottom here so
I've actually compressed this plug into
us into a thinner wedge at the front now
this is going to be perfect then to get
a good grip on with the force app here
we are just holding onto it now we're
gonna have to start pulling you can see
it see the hole plug starting to move
down the ear canal there we are we've got so
far and it's sheared off and this is the
downside of forceps is that sometimes if
the structure you're holding on to isn't
particularly firm or in this case very
brittle then what happens is it just
shears off but I'm gonna train cold of
this you can see this three skin layers
they were holding on to compress
together holding really tightly getting
the grip on as you can see it's all
traveling down the ear canal or just broke
off at the entrance again there so we're
just gonna try and get a grip now so it
was a bit more awkward when you get to
the entrance because the plug tends to
be a little bit bigger it doesn't leave
a lot of room for the forceps in there
so we have to work on these straggly
pieces to the outer part of the ear
ear canal first you can see how it's
difficult to get the four step down
without pushing this plug further in so
I'm just trying to work on an edge to
pull it inwards a little bit there we
are so we can get a better grip and take
these looser pieces away so I'm trying
to work down the the right side of the
ear wax lifting it from the ear canal wall can
you see as we're trying to bend it away
but as we're trying to get a grip then
to get the top part of the force up on
it just pushed it further in now we've
got a good grip to the outside we've got
a thin edge that we can work on the ego
we can get a decent grip top and bottom
of it so wiggle this up and down and out
he comes there he is so you can see a
really solid dry skin don't forget this
is all skin this is not ear wax this is all
skin so a really big skin plug you can
see the dryness to the ear canal walls they
were just picked a flake up on the
cameras while the eardrum is they were
looking quite dull lots of dry figs look
at the size out a centimeter and a half
there's one solid plugg you know it was
a really big really really big piece
what's that
3/4 of an inch I'm going to call that
yeah you can see it's a fair size you
very much functional video today if you
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until the next time take care