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
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hi everybody this is Rhys barber from audiology associates we have an ear wax
removal compilation video for you today so three patients in this video
so this first patient has come through with reduced hearing no other signs or
symptoms so we're just using the standard size zoellner tube just to start
to remove this ear wax and just see we're getting a grip on the leading edge of
the ear wax there and trying to hold on to it wiggle it up and down so the we
can bring this out of the ear ear canal you can see it peeled away quite nicely and is
the eardrum there looking nice and healthy and shiny so this is the second
ear of this patient you can see the ear wax is quite hard on the outside section
of the ear ear canal they so we're going to use the standard size zoellner tube on this
side as well just to get a grip on this hard ear wax yes you were just maneuvering
around if you a fan of the the peels that we do the skin peels watch this
video to the end is the last patients got it's a really good one to watch so
we have a little bit of difficulty grabbing the outer section of ear wax
there so we can use the crocodile forceps just to get a grip just a gentle
grip on the outside so we don't tear through the middle of this wax I'll try
and hold onto it if possible you can see it's just crumbling away there and the
pressure of the crocodile forcep
just trying to get a good grip on a quite a hard piece of ear wax to remove it a
little bit of dry skin there coming away
it looks like it's holding together quite nicely which is why I'm continuing
with the forcep here so you've got that strip look at the back which seems to be
holding everything else in so if we can get a good enough grip on that section
so we'll just move this front section out of the way so we can get a grip
behind it there that's why we continued with the forceps it's because you can
see as we pull that out just how much of that sort of dry skin ribbon was hanging
in there behind it it's a little bit the entrance to the right hand side so we'll
just remove that ear wax there
choose the crocodile for so it's a little bit of dry skin as well same as
what you saw at the back end of that piece of you ear wax we just removed so yeah
let's just take another way you can see the eardrum there looking nice and
healthy this is what we remove so you can see just how long that strip of dry
skin was at the rear and that's it in inches okay so this is our second
patient so this patients come through a little bit of aching into the jaw
reduced hearing on this side so we can see it's quite a large lump of ear wax this
we're just gonna use the standard size zoellner tube just to do a bit of probing
on the outside of the ear wax seeing how hard this is whether there's any
movement there to the to the ear wax whether it's going to come out in one piece
basically so we can see is there it a little bit of movement to this ear wax here
we go so we've got the offending piece out but watch what happens as we pull
this long strip of dry skin like hanging behind it it's a little piece there at
the entrance as well so we'll remove that maybe I'll even see a little bit of
swimmers ear so a little bit of a bump there to the right-hand side of the
ear ear canal so that's that long strip of dry skin a long ribbon of dry skin which was
holding this nugget of ear wax here at the front in okay so this one's quite an
interesting patient this one's basically we've had a patient come through had an
ear infection has been using drops to treat it but also a little bit of ear
wax so what's happened is we've got this layer of dried mixture of drops ear wax
infected material that's been left over or coating the outer part of the ear
ear canal so this patient has got quite reduced hearing on this side so what
we're going to do now is we effectively have to remove all of this so you can
see it stuck really well to the ear ear canal wall so this is going to be a case of
peeling all this down the ear ear canal so we've got the standard size zoellner
tubing here at the moment starting from the outer part of the ear ear canal where
the edge of this ear wax is sometimes if you can lift it from the outer part of the
ear ear canal you'll get a nice long pull on this this material that's coating around
the outside edge so we're gonna use the crocodile forceps now just to try and
lift and pull at the same time so we're just going to lift it off the ear ear canal and
pull it away because here just sheared off a little bit there let's left us
with another edge to work on so we're gonna use the crocodile forceps again
there you go you can see how it's just formed a long dry plate in here yeah
yeah just pulling again every time we pull out we're leaving another piece to
work on another leading edge to work on with the forceps so we're going to carry
on with the forceps it tends to be the most effective tool for these kind of
peeling extractions that we need to do so you can see we're just carrying on
and moving up a little bit of a deeper section in here now the reason I'm
aiming obviously we need to pull this section away you can see that it's
coming away from quite deep in the ear ear canal we've managed to clear the left-hand
side of the ear ear canal now so when we take a look in here and so you've got another
leading edge here to get a grip on now sometimes we're lucky when you pull
these it will actually pull peel from the right side down and bring
the right side then its just starting to do that the bottom edge there but it
didn't quite manage it so we've still got a lot to the right-hand side here so
I'm gonna try and get a grip rather than work from the front we'll work our way
back and then I turn get a grip on this back section and bring it towards the
front which should then give us quite an effective there you go peel nearly all
of the way down the ear ear canal now you can see we've got this section to the
right here so I can use thezoellner tube just a lift from the ear ear canal wall but we
need to get a really good solid piece to get the grip on I want to try and peel
this off in do it in one piece if you can
obviously it means the less the less times you have to work against the ear ear canal
wall the more comfortable it is for the patient so if we can just try and lift a
good section at the front here it means it's gonna be a lot easier to get that
out so just lifting from the ear ear canal wall
it's just peeled off in a small section they're trying to find the best grip we can
peeling away some of these looser bits at the front entrance now just to try
and get a more substantial grip or more substantial piece to peel away from the
ear ear canal wall and now we're starting to get a nice leading edge there it's all
peeling off you can see is the remainder in in one go it's almost a bit like
what's the best way of describing it it's almost like peeling wallpaper
if anyone's ever taken wallpaper off if you get a really good section and take
it away it's kind of like that your trying to aim for those kind of big
pieces so going back in with the forceps so we've actually lift it so
we're just gonna gently pick this back up there you go and try and peel and
you'll see it peeling all the way down now
just uncover the top of the eardrum there okay so what we've got now is a plate
that's left actually on the eardrum itself now what I want to do is create a good
enough edge to be able to get the forceps under here okay we can try and
peel this with a suction tube which is what we're going to do by lifting it
first now if as I lifted this it looked like we were going to get a really good
bit of movement to this plate using the suction I'd obviously carry on with the
suction to go that way but it's actually quite it's quite thick so it's not
really bending away from the ear canal very well and we can't get a good enough grip
on it with the suction here because it's so close to a clip the ear canal wall and
when it's this deep it's very difficult to get them the angle you need to
maneuver the whole thing off off the off the eardrum so what we're going to do is
create a leading edge using the fine end here yeah just your peeling away I'm
looking to get enough distance between the between that plate there and the
ear ear canal wall to be able to get the edge of the crocodile forceps so we've got
that there you see we're getting the grip just broke away at the end so we're
just gonna take another or so you were very cautious here because we are right
next to the ear drum there you know we've got a good enough grip now very
slow gentle controlled peel now okay so take this away from the ear drum very
very gently and there we are whole thing came away in one piece if we
take a look at the ear drum all nice and clear patient hearing a lot better a
little bit of dullness this or a patient has had a little bit of middle ear fluid
so you can see here this is the mixture of skin infected debris and wax that's
been removed some quite long pieces in there you very much for watching video
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