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 watch now he works for
mobile compilation video today we've got
two patients in this in this compilation
so this first patients come through you
can see they've got quite narrow
entrances to the rear canals but with
some very dry ear wax in here this patient
comes through Bay I've read sort of five
six months to other areas cleaned out
with us
so what we're doing here is first of all
just removing some of the hard wax from
that's quite stuck to the ear ear canal walls
here at the entrance because obviously
we've got to get some of this wax past
this here so if we can just clear that
away first it helps with the deeper
pieces later on so with this kind of
drier wax
sometimes you'll get a lot of dry skin
underneath the wax and that can hold it
against the ear canal wall so it's quite
important that we take there the sides
and then stick them and release them
from the ear canal walls first of all here
this wax is a kind of a stranger
consistency you tend to find with this
it's got a very hard outer shell to it
where it's been in contact with the
drier parts of the skin but the centre
section then tends to be a little bit
softer so what are we doing here is
trained to loosen it with the crocodile
forceps first of all because the microsuction
sometimes just can't get good enough or
strong enough microsuction grip on it to hold
on to it but as you can see is what we
have on the outside is this really hard
section but when we get into the the
centre part of the wax much much softer
so the crocodile forceps are now
struggling a little bit to get a good
grip you can see it's just pushing
straight through that soft wax you see
just pinching it off there rather than
actually getting it getting a good
enough grip on it so what we're going to
do now is switch to the Jobson horn
we've got a little gap at the top here
there's a piece of dry skin just
attaching this piece of wax here look to
the ear canal wall so we're just going to
try and break that down a little bit so
we can get behind this section
you know just stunt leader behind it and
pull through we're taking the softer
pieces out to the centre here at the
moment with the Jobson horn just working
along the ear canal wall Co softer out the
section is so we'll get through this
softer section here in the centre of the
wax and then we'll get to the harder
under layer then which is resting at the
bottom of the ear canal wall hopefully when
that happens then we may be able to get
to get a nice tough piece that will come
out in one in one chunk so that's what
I'm kind of aiming for with this next
one though was to try and find that
harder section see we just moved a piece
of the wax there he's pulling along this
left-hand ear canal wall here there you go
you got the hard or under layer there
look
so we'll just get rid of that now back
in with the section doing a little bit
of tidying up I'll see when we take that
hard layer away what we have then is
another softer section further back so
sections gonna really help to tidy that
up and stick it from the ear canal wall you
can see the dry skin there just below
this piece I'm taking away see it that
whiter section is just holding it
against the ear canal wall so we can use the
crocodile forceps to get that big that's
a harder piece you can see just how
tough and how held on that is there
because it's we really have to pull
against it with the crocodile forceps
yes just start to encounter a little bit
of a soft section we've lifted the base
up a little bit so if I can get a bit
more of a gap between that in the ear canal
wall there you go using the microsuction just
to reposition this wax to see if we can
get a better grip then with the
crocodile for self again underneath just
slightly the wrong angle we've brought
it forward now there you go so now we've
got hold of that outer shell we can take
a great big chunk out now if we take a
look behind that baby up and see the
eardrum there and I was a little bit of
dry wax stuck to the top left hand
corner here so we'll just take that away
you can see what I mean about it peeling
away from the ear canal wall being stuck to
the ear canal and the skin the dry skin
released on the outer section of the
ear canal wall there so we've pulled this
flap of dry skin down oh that was
attached a little bit of Wax we could
see there so we're just trying to get a
grip on it with the microsuction tube you can
see that's all we're doing is lifted a
flap but not strong enough to be able to
take it away so we're gonna try with the
jobs and end up with the crocodile
forceps now but because it's a flat but
it's folded down you can see it's
difficult to get hold of with the
forceps we're gonna do a little bit of
manoeuvring in here just to trigger them
a grip on the edge there we go here we
up I would take a look at the Udrih
mutant see our colour pink and dry the
skin is in here as well so this is the
same patient but the second year now so
you can see a very similar story on this
side as well very dried up wax again
here so just going to start with the
micro microsuction tube just to take away
some of the looser bits from the
entrance to the ear canal here yeah
same as before ever lift it we can see
it's quite firmly stuck so we're gonna
go straight in with the Jobson horn now
trying to manoeuvre the the harder
sections of whack so obviously as with
the other side you've got that soft
Center section so trying to get through
the harder pit on the outside to the top
down to the softer section into the
harder piece of wax at the base which
will allow us to get a much better grip
as this come that you can see there we
are managed to get a lot of this moving
just trade the position the camera so
you can see the jobs in a little better
yep there we go you actually see the
layer of dry skin there folded
underneath and there we go you can see
the eardrum there a couple of little
loose bits of debris there on the outer
part the ear canal so just hovering
these little bits up as we go back in
peeling those off the ear canal wall now
lifting it from the base there we go
so we've got that dry piece out there
now little tiny bit more to the left
hand side oh yeah we can see the eardrum
there so patient much happy so this is
what we removed you can see quite
hardened up your very different colours
in there we go from the very dark
section the centre they've got the light
to colour see out departs so yeah
different ages for bits and pieces in
there and okay so what we have here now
this patients come through very blocked
up with hearing aids has very very fine
Downey here at the entrance to the ear canal
which is actually stopping the wax from
migrating out so you can see it's tough
tough as old boots so what we're gonna
do is use the Jobson horn just to push
this is literally at the entrance to the
ear canal so gs into the entrance pull down
again just into the entrance again there
you go so we're behind this blockage
where you can't actually see it at the
moment until we pull it forward but as
we take this out you'll see that all
those tiny or downy hairs are all
embedded into this wax now this is not
something you would normally trim away
because these his do have a purpose they
stop you can see as we're pushing
through here there's thick those fine
hairs are there's just so many of them
there's a little bit of dry wax here to
the left hand side so I'm just gonna get
a grip on that so this is actually a
lady that came through the clinic here
so you can see that sometimes it's not
that they're kind of bigger thicker hair
is only able to part the ear canal that
that can they do other poops cuz they
stop any debris getting in but they can
if they're if they're very if there's a
lot of them like this and they're really
densely packed together it can also have
the effect of stopping that wax from
migrating out sometimes because this wax
is drying and as its drying its
hardening onto those hairs so this is
that this is what's causing a prom for
this lady but you can see with the
Jobson home and go do it really easily
I'll just take a look in that one push
through the hairs and there's a year
drums all looking nice and healthy
so a nice quick quick dry wax extraction
that one so you can see but roughly
about the same size pieces in both ears
and that's it they're in inches
you very much for watching our video
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take care