hi everybody this is rhys barber from
audiology associates thank you very much
for watching our top
10 ear wax removals these are my top 10
faves over the last few years
uh we've put them all together in a sort
of countdown from ten to one so this is
number six
uh so this is actually a compilation
video we didn't this is when we
first started doing our compilations
we've got uh
lots of dry skin keratosuctions those
kind of things in this video
uh which are my personal faves favorites
to do
um so i i enjoy taking away the the skin
removals i enjoy the the
eardrum peels those kind of things so uh
you can see with this patient they're
really very blocked out but look at this
piece coming away now this long
uh strips of of dry skin coming away
from this ear canal wall got the crocodile
forceps in here just getting a good grip
look at this coming away you know it's
really classic you get these these
long ribbons of skin this is quite early
stages in this kind of dry skin issues
because what would normally be happening
is when you get these kind of problems
here
if they stay in there for a long period
of time they start to dry
and then you get these kind of really
hard skin blockages in the gear canal
which
can become problematic problematic if
they're left in there for a long period
of time
because they start to affect the ear
ear canal walls but this is actually coming
away
really nicely so just trying to get a
good grip
on the edge of this here
you can see that plug just moving down
the ear canal now
there we are it's almost there
there you go so you can just see that
coming away that sort of remnants
you always know when you get to the end
of these skin plugs because you tend to
have this
this sort of uh much of a wetter mushier
type appearance to it to the end so you
get this little long ribbon and this
kind of mushy ear wax coming away
there you can see there's a little bit
of ear wax here and here
so that center section is sitting right
next door to the hammer bone
and then you've got the section up there
to the top right corner as well
so we're going to pop the fine end on
now we're going to grab this section it
looks like it's a little bit of loose
skin just above it
let's see if that comes away with this
section
there we go so that's the central
section gonna see if we can get this top
section this way
no we're leaving that one behind me
so there must be a reason why i didn't
take that piece away so what we've got
now this is the
second ear
look at the ear wax in the the skin i'm
sorry in this size really really dry
you can see how that's starting to pull
away there now this
really hardened up this section
that's great for crocodile forceps yeah
i thought they'd be coming into play so
there we are there's crocodile forceps
if we get a good grip on this if it's
attached to the section behind it may
well bring that forwards and out
yes that's exactly what it's doing look
at this coming away
that really thin hard dry piece of skin
there
oh we got one last piece sitting further
back we can see a couple of little
what looks like little tiny retraction
pockets as well on top of the eardrum
there
let's grab this this should jump towards
the suction imagine looking at this
there we are looks loose
oh no it's not it's actually still
attached they look to the top
oh that's a surprise we can see it still
attached there to the top section let's
put it really gently forwards then to
remove that
that piece there
so what happened with this piece of skin
is it
um where the skin normally sort of
migrates from the center of the eardrum
outwards
and then it it kind of reaches the ear canal
wall what happened with this piece of
skin as that migration that happened to
the top it was actually folded back down
so we end up with this this really
hardened up piece of dry skin that was
actually physically attached to the top
of the eardrum there
that looks a lot better now
perfect you can see all the blood
vessels coming to the surface so you can
see what we removed here
some quite big pieces look at the color
difference though in that much drier ear wax
to the right hand side
i try keep saying ear wax dry skin to the
right hand side compared to that
that skin on the left hand side so this
one now this is another skin issue but
you can see there's a little blob of ear wax
there at the bottom a darker colored
material
we've got a piece of skin to the left a
piece of skin to the right
so this is the standard size on the
tubing here again
trying to get a grip it's nice and flat
um
so sometimes that's good for getting a
grip if if there's a little if it's a
little bit softer on the edge
then the suction will bed into it and
get a really good grip on there
and take this section from
this bottom right side that's pulling
into the car
this is all one piece i think looking at
this
that's not really budging that well
let's get the crocodile forceps
on here see if we can get a good grip
above and below
and as we pull this forwards if it stays
together
i think it's going to pull that section
to the bottom right
with it is it going to stay together is
the question
there you go so you can see it was it
was almost a continuous pocket
of skin that had gone around the outside
edge of the ear canal back
down the other side trapping this little
bit of ear wax behind it here
the ear wax itself is quite dry but we got a
good grip there with a standard size on
the tube
there we are
and there we go we can see can you see
the detachment from the
eardrum here oh here i've got an arrow
towards it so the detachment is where
the skin should be migrating out but
it's
left this kind of thin uh spider webby
layer there
now don't forget the eardrum skin is
really really thin it's only sort of
three layers of skin
thick so what you've got there
you've got to be really careful with
these kind of these poles and things on
the eardrum especially that one's it'll
look quite firmly attached
if you get a grip on that and pull it
and it's still
firmly attached it's going to tear the
eardrum and you can end up with the
perforation which is the last thing you
want
um so we would normally say to that
person but let's let's follow you up in
six months let's check you over again
and uh if there is any more that skin
debris they will remove that for you
lots and lots of little skin ribbons
in here by looks of it
let's get a good grip on that section
let's pull this forwards
just as we're pulling this what we're
doing is we're feeding the deeper
oh look at that coming away that is see
did you see what i mean about the end
it looks really kind of wet um so you
know
you've kind of got to the end of that
skin ribbon when it starts to do that as
it pulls away
and you can see where it was detached at
the entrance to the ear canal here
so see how the skin normally migrates
out and would break away at the entrance
you can see that there
because you had this lift of dry skin
just at the entrance to the ear canal
look at this hiding around the corner
though
it looks like they might just pulled a
little bit yeah i thought there was a
little bit more further in
so let's just grab that and take that
away
you do have to kind of check this left
hand side as you're looking in here
and you've got the same see you've got
the same as so this is this is actually
like a
the outer edge of the eardrum there at
the bottom but see how it's migrated out
um so this is where a lot of these skin
issues is a perfect uh a
top point to show you a lot of these
skin issues come away like that from the
eardrum
and then end up coming into the ear canal we
did one a few
uh probably a few months back now where
it kind of spirals out
and you could see the spiral formation
so uh this patient here now we've got
what looks like some cotton wool fibers
and debris left in here as well they've
been trying to clear this off
it's always difficult to tell the
difference sometimes between
your kind of fungal infections so your
kind of spores
and your cotton wool fibers
it's just a bit too white i think i
think this is probably cotton ball
fibers but this is
uh very much a skin blockage here
you can see as we pulled it it's just
starting to split these layers apart
see how it's wet it's almost like a like
a jelly like material
that's coming away
difficult to get a good grip on as we
said before when using the jobs and
horns sometimes it just pulls
through uh in between these different
skin layers
it's uh what's that what do i see um
orbeez
is a it's like a like a little kind of
ball thing you put in water and it
swells up
this kind of skin has that texture if
that's helpful to anybody
uh it it's just got this really funny
texture it's very squishy
um but there is some substance to it
it's
it's a really difficult one to remove
so we're still using the the crocodile
forceps here in it
i'm trying to detach this from the ear canal
wall see if it's too wide really to get
a good grip
uh with the forceps but then when we're
trying to use the jobs in the hornet
it's not really budging so
i'm trying to aim for this there so i'm
trying to lift it look from the ear canal
wall
and i've got a little gap here which i'm
going to aim for
there lift it again trying it behind it
trying to hold on to this outer kind of
ledge
of skin it's
not quite coming out there yet
it's just you can see it's just
splitting and ripping as we're taking
this away
that's still we're still unpicking these
layers at the moment
what we have the problem we have here is
the back end of this skin is actually
still attached to the ear canal wall
so i just need to try and if i can take
some of the center section away which is
what i'm trying to do here it means we
can
pull the skin down
into that space it's really tough old
stuff
i think probably looking back at this
now
um i can see what i'm trying to do i'm
trying to break this down i would
probably pop the the standard size on
the tube on here
let a little bit of uh the suction
the pressure of the suction hold on to
this a little bit and we may well be
able to pull this out a little bit more
effectively
obviously with the the crocodile forceps
at the moment is just pulling through us
ripping bits of this away
i like this video because it it gives
you some indication
we talk about these kind of skin issues
and then breaking away and coming away
but when you actually see it and you see
the sort of thin wispy skin coming away
from the eardrum
it really kind of hits home that the
sort of the cause of these kind of
issues
just see how it's just sheering away
oh my goodness this is so frustrating to
watch now i'm sure i was equally
frustrated doing it
this is almost like a pocket of skin
here
has hit a bit of olive oil on the outer
the the the skin itself
looks really wet so it looks like
there's a lot of olive oil got in here
already
that skin underneath look how white the
skin behind it looks
wow yeah it's really kind of
lots of fluffy debris and stuff in there
i would say that's probably a bit of
cotton wool looking at it now
can we get a grip on that cotton wall
substance right in the middle is it
more yeah it's two the fibers are too
white to be a there to be a fungal
infection i think here
but you can see what's happening they've
jammed this cotton wool bud in here and
it's just
interrupted the sort of the skin process
more like the way they that where they
were
cleaning the ears it's just uh
scratched or or sort of really dried out
that one particular section and
because it's left remnants behind that's
going to be constantly drying the skin
behind it and then you're going to get
these kind of bits all wrapping around
it
so they were quite lucky they came
through when they did because if we'd
left this unchecked
uh you can see the kind of problems it
would have caused
my goodness me okay so we're just
getting to the the sort of end of it now
we're just getting the crux of it
let's try to take and let's get rid of
that so we can see behind it
i wonder what happens next now okay so
um we're just trying to detach the outer
edge here
you can see how wet that is you can see
the oils go underneath there
uh sorry i'm leaning forward to be able
to see and
we've just got this last section here ah
there we are
there's the suction tube i think this is
going to make a difference
in here if we can lift everything
in oh is it though is it really jammed
oh my goodness me that's
really jammed in there bless them
see how it's peeling away from the ear canal
walls
i'm trying to get a good enough grip
that to suck
if you get a lot of the skin into the
end of the the suction tube
now what happens is you you end up
building a little bit of suction
pressure which is going to really hold
on to it nice and tightly
and that then should pull this forwards
and out but what i've managed to do at
the moment is detach it from that ear canal
wall
just enough that we may be able to get
the forceps behind
far enough onto the jaws i know that's
far enough
ah i didn't think it was it's just
breaking away uh if we can just get
behind
it it's that a little bit further and
also
oh it's really delicate to pull that
away
there we are is that the grip we needed
oh my goodness it's so close ah it's
almost there
i start that that's really starting to
loose up but i can
see that pulling away from the ear canal
wall there we there you go
there it is wow
that is one long piece of dead skin look
at where it was all attached around the
outside edge we've got a little bit of
dead skin there to the right hand side
ear drum is looking a lot clearer now
though we can actually see the drum
there
so if we get hold this top section it's
going to pull down the remainder there
we go
it's taking that kind of thick layer off
the eardrum
wow that is a lot of that's come away
i remember why this was a good one now
my goodness me you can see now
just how much debris came out there is
so much in there
i think that that was caused just by a
purely just by a cotton wool
over enthusiastic with a cotton bud they
are q-tip
um let me just pop this back up so i
think where it's gone in it's dried at
that depot section of skin there
all the uh sort of drier uh skin that's
detached and wrapped around it held in
there
and then where they've been putting
constant olive oil as we said in a
couple of videos ago it just it kind of
softens the skin but it doesn't get rid
of it so you end up with this this kind
of soft
matted uh skin and cotton wall but yeah
really good one to watch
uh well guys if you did enjoy the video
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uh we post new eric's removal videos
every monday wednesday and friday at 9pm
uk time
uh i'm off this week which is why we're
doing the top 10 but i'm back
next week and everything returns back to
normal with new videos again so as
always guys
take care