hi everybody my name is Rhys Barber I'm
the audiologist here at audiology
associates our Christmas gift to you
this year is the 12 days of ear wax mess
you're gonna be getting a new video from
us every day now up until Christmas day
so I really hope you enjoy the videos
and as always guys take a hi everybody
this is bob from audiology associates
welcome to day eight of the 12 days of
ear wax mess so we have a patient that's
come through with reduced hearing in
both sides feeling their right ear was
the worst lots of itchiness to the ear
as well so this is the right side you
can see we got the standard size Alana
tubing here lots of very soft ear wax and
very it's a liquid ear wax really stuck to
the ear canal wall so that can cause a bit
of itching and irritation in here just
trying to loosen some of this softer
debris off patient has been using quite
a few drops because of the itching and
because of the blocked up sensation you
know certainly some drops especially if
they're alkaline in nature can cause a
mild irritation in the ear canal so such as
sodium bicarbonate drops and sort of
peroxide drops those kind of things you
can see we've loosened from the edges
now so you've got that softer ear wax away
we've got a little bit of a slightly
harder section here so we're just
staying away from it just pulling
towards us now with the suction here we
don't just see it starting to get sucked
into the Machine there we go
now we'll go to the outer part of the
ear canal it's too wide to fit out of
the ear canal but it's very soft so what
we're going to do is leave it there and
just start breaking it down at the
entrance to the ear canal now so just
hovering the suction tube over it trying
to gently pull this out of the rest of
the way I've got some quite soft
material there and to get this next
section the way here you can see all of
this is just getting stuck straight into
the machine so all ends up a little tank
at the front you're just getting the
last piece away from the entrance to the
ear canal okay for this next way I just want
to point out a few things on this
eardrum so it's gonna stop the video
here we've got an absence or light
reflex so the light reflex isn't present
we've got like one little dot there
we've also got quite a grey blue colour
to the eardrum there as well which is
usually an indication of a little bit of
flu
behind the eardrum you've also got this
red patch at the top here which is where
you get irritation so all the blood
vessels are come to the surface which is
where the itching is coming from that's
the tip of the hammer bone there which
is what we expect to see we've also got
this other white little dot here now
we're going to keep an eye on this
because we don't like little white dots
appearing in the attic region of the the
eardrum it's something worth keeping an
eye on it's as it is at the moment it's
not really an indication of anything
sinister but what I would like to do is
see the patient again when that
irritation that redness has gone away so
we can get a good look at Dahlia door
make sure everything looks healthy I
want to see that white disappear it
could be you can sometimes you forget a
bit of retraction to see the other bones
in the middle part of you but I don't
think that's what it is it could just be
a little bit of irritation to the skin
with all that redness there but
something worth keeping an eye on with
that one so what we see here we've got
this is the second ear very sort of big
section of ear wax here just sitting at the
entrance there was a bit of a gap around
it where you could see the eardrum
behind as well so we're slow in the
video down there so you can see this
coming away it's on its way there we go
so managed to stay together in one big
sticky lump so all that's come away
nicely have a good look behind that now
so there's the eardrum I'm just kind of
pointing it on this one as well you can
see the little bubbles little circles
just at the bottom there so where we had
the grey colour to the last ear drum
you can see not as aggravated on that
one but but there is some bit middle ear
fluid there so there's all actually
removed and in inches coming up there
you go and I shall see you all again
tomorrow for day 9 you very much for
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until the next time take care