hi everybody this is rhys barber from
audiology associates
thanks for watching my ear wax removal video
today a really
interesting one this one this
patient's come through
lovely gent really blocked up
in both ears here
and you can see we've got this really
hardened up type of ear wax this
plug of ear wax here on the outer part of
the ear canal
we've got the standard size zoellner tube
in here but this is tough old stuff
we're trying to detach it from the canal
wall to get this out first of all
so the patient's had reduced hearing
it's been feeling like this for a little
while
in both the ears you can see we're
trying to work this out but it's not
really budging
now not only do we have ear wax in here
we've also got
another object in here now i think i
know what it is
personally but what i'd like you guys
to do is let me know whether you think
it's the same thing in the comments so
what you'll see in a second is as we
start to remove this
it's a bit tough so we're going to go in
with the jobson horn here but look
as we pull down with the jobson horn you
can just
see some purple material just about see
it at the bottom of the
ear wax blockage there but as we roll
this forward i'll point
out for you now you can just see that
purple material there now that's the
beginning of a block of
purple in the ear canal which is
obviously a color you don't normally see
in ear canals
so you can see it here as well
it's embedded in the ear wax but it's
quite a big plug of this purple material
now when i worked in the nhs my job
towards the latter half of
working in the nhs was as a pediatric
audiologist so we used to look in
children's ears all the time
now to me this looks like a block of
play-doh feeling the consistency of it
when i broke it away
and broke it down a bit later on after
we took it out the patient's ears it
certainly had the same consistency as
play-doh
now obviously this is actually an
adult's ear so
they can't account for where this has
come from but they agree with me
that they think this is play-doh as well
but let me know what you think it is in
the comment section below
so behind that block we've actually got
more
ear wax again so what we're going to do now
Is to get a good grip on
this
on this back section of ear wax you can see
it's quite
dry it's much darker in color which
means it's been in there a little while
so this patient has been suffering
With this for quite some time
so you're just probing around the
outside edge we're introducing a little
bit of olive oil in here as well at the
moment
just to make it a bit easier to get a
grip on here and to try and
wiggle this out a little bit better so
you've got a grip there on the top
you can see i'm trying to wiggle this
section from the right side
out just try to turn this blockage a
little bit
just to work it down the canal
but you can see this is so hardened up
its perfectly formed to the shape of the
ear canal no wonder this poor gent was
having a lot of difficulty hearing here
very slowly working this off we're just
pulling the loose pieces out of
the ear wax plug here
just so we can try and twist this around
and just try and get this out
lifting now from the bottom you can see
just to the left hand side that
strip of dry skin that was
just holding everything in a little bit
of olive oil just coating over the
camera there
actually somebody came up with a really
good idea the other day for olive oil
saying couldn't we just take away
the excess olive oil from the little
Cilia with a
cotton wool bud/q-tip
which i think is actually a really
good idea so i might well try that
i don't like bringing q-tips into the
practice guys but i might have to bring
some q-tips in just to give that a go
and see if it works a little bit better
so thank you for that suggestion
so i can see we're just
loosening here it's really just trying
to
wiggle this and pull the sides in i know
i watched one of connor's videos the
other day called this the parcel
technique he's nicknamed this where he
folds the sides and you
hold on to it and pull it out
it's a really good way of getting a
really stubborn plug as well
working gently now
what we're using here is the actual
suction itself we can get
really caught up in trying
different techniques and things like to
try and get this out
but sometimes one of the best techniques
is using the actual suction itself we
get so
caught up in trying to pull little bits
out
but if you hold the suction on a
particular section and just allow that
suction to build
it forms a really good tight seal which
then allows us to be able to wiggle this
very gently while slowly drawing back
with the suction tube
which is what you can see me doing here
i'm just holding it on there just for a
second or two
which allows that suction grip and then
pulling down so we're trying to roll
this ear wax we've tried turning it
it's not really turning you can see me
holding on tightly there using that
suction
very gently you'll see the very tiny
rocking movements
and look how this ear wax is very slowly
progressing down the ear canal
so a great little technique to use that
one obviously
we use the suction to suck little bits
in but it's always a good one to hang on
to things as well when you get it to
this stage
so out this pops look at that big
dark plug that came over there a little
bit of light the gray material a bit of
dry skin underneath there as well
we take this away you can actually see a
little bit of oil left on the eardrum
with the back end of that ear wax was just
starting to touch the eardrum
really blocked up on that side
bless him and that's even without the
play-doh in there so
this is the second ear here very
blocked up in this side very dark
looking material here as well so
quite old in this ear canal as well and
we're just going to see if we can work
around the edges
there we go you can see it's just
dropped that ear wax forward just
ever so slightly but it's got a bit
stuck again so now we're going to have
to work around the outside edges here
again
same as we do before oh guys if you
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next video but you can see now we've got
this big plug
just rocking it getting a bit of a
wiggle going on there
just slowly drawing this down the canal
as well
there we go you can see that top section
of ear wax just
folding just starting to creep forwards
there
there we are it's all starting to wiggle
around as well i will show you in a
bit more detail that purple blob that we
took out as well just so you can let me
know whether you think i'm right whether
you think it's play-doh in there as well
so it's got a bit stuck let's bring the
jobson horn in now
great little tool for getting this ear wax
out if it's stuck on the outer part of
the ear canal
folding this forward but you can see as
we bring this forward it's just
chipping
the front end of this ear wax off it's
quite brittle so out that comes there
you can see a nice
big plug on the end of the jobson horn
there let's go in now
tidy up a little bit with a bit of
suction and
let's see if we can get this moving now
we've taken the front end off sometimes
it'll give you a little bit more wiggle
room in the ear canal
it's a little bit angular at the front
you've got these little hairs in there
as well now this comes up in the
comments section a lot
sometimes people will trim their ear
here sometimes these are just a little
cilia that have just come away
inside that ear wax blockage as well
sometimes they can be bits of hair from
haircuts
so it all ends up in there sometimes
you're gonna mix in with the ear wax which
is what you can see here as well
so i'm trying to lift from the bottom
just tidying up some of these looser
sections here
let's go back to the top now let's see
if we can try and bring this forward or
at least try and
roll it forwards out of the canal now
it's a thick old plug this one and it's
really well formed to the shape of that
ear canal
you imagine having something that's
perfectly made to your ear
and you know a thick material like
this it's really going to dampen that
sound trying to get into the ear canal
but we've got a bit of movement now
we're just starting to see that top
section moving
you can see it's slowly creeping
out of the ear canal there
it's on its way these little
movements where we hold on to it pull
forwards and just
aim a little bit higher next time it's
going to go around this bend we've got
to flick this
it's backwards on my screen i'll flick
it across to the right hand side now
there we are now it's starting to move
look at that coming away you can see
that grey
material there that's the dry skin
that's been wedged underneath that
piece of ear wax against the canal wall and
let's take a look there we
can see the eardrum there i want to
point out something at the bottom you
can see these little outlines here
that's little air bubbles that are
sitting behind the eardrum so this
patient has got a little bit of middle
ear fluid you'll notice that the
light reflex have been diffused a little
bit but look at what came out we got
four centimeters
and one and three quarter inches nailed
it that time
coming out of both ear canals there
you can see these big old blobs here
if you hang around now for about an
extra five or six seconds i'm going to pop
that little purple thing up
on the camera and you can take a look at
it and see what you think there you go
so that's what we took away
i'll blow it up a little bit in a second
so you can see it there we are
so that's the purple material that came
away now that to me is classic play-doh
let me know if you disagree let me know
what you think in the comment section
below for that one
well guys i hope you enjoyed that video
as much as i did voicing over i love
getting the more unusual ones
don't forget drop a comment in the
section below let me know what you think
that purple thing is there
if you've got any feedback for us also
drop them into the comment section we
like hearing from you guys
so as always guys i shall see you now
on friday so take care of your ears take
care of yourselves and take care of one
another and we'll see you again real
soon bye everyone