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
everybody this is Rhys Barber from audiology associates thank you very much
watching our ear wax removal video today so you can see this gentleman's got some
very soft ear wax here just in this in the ear canal being using a little bit of
olive oil to soften this up having quite a few issues as far as his day-to-day
hearing is concerned and felt a massive reduction in hearing over the last few days
so that prompted him to come into have a look what you can see here is the
standard size zoellner tune because we've got very soft ear wax what we're doing is using
the suction to remove a lot of this at the moment you can see it's actually
quite sticky so as it's getting sucked into the zoellner tube because you're just
gonna lift it up there what we find with this type of ear wax that's very wet and
sticky is as it gets sucked in it kind of lines the inside of the the suction
tube so every so often we have to pop the suction tube out flush it through
with water just to clear that out before we start again but there is a lot of
coming in and out of the ear for this video just because it was blocking up
quite a bit you can see there so it's just taking little bits away at a time
it is easier sometimes if the ear wax is a little bit harder just because you
tend to find it stays in bigger chunks so you can get a grip on a piece
and then maneuver that out of the ear ear canal rather than this wet stickier type
of ear wax here now with say for instance of Jobson horn if you put that into this
wet ear wax that's all it's going to do is just pull through the center so you're
just gonna take a little kind of scoops a little bit Jobson horns are much
better if you can if you've got a harder piece of ear wax in there rather than this
kind of softer squishier stuff just because it'll get behind it and bring it
forwards so you can see we're really having to kind of chip a little bit
flush the machine chip a little bit more that's why it's easier I mean obviously
when patients come through they're quite desperate and a lot of them have used
lots of different lots of different drops and lotions and all sorts of
different things to try and clear this so sometimes by the time the
patient gets to us the ear wax is super soft so it's it's really difficult to work
with it's not this kind of nice big chunks of ear wax usually coming out at the
moment just and sticking it from the ear ear canal wall hoping that we're gonna hit a
harder section of ear wax here sometimes because the drops will soften what what
they've come into contact with the outer section of ear wax will be really soft but
the middle section of ear wax will actually be quite hardened up or a little bit
thicker and a bit more solid so we can get grips on it but in this case the ear wax
itself is just really really wet and sticky just start to see the eardrum now
bottom left-hand corner little blue patch so that's the drum so we know
we're working a lot deeper you can see it's kind of as you're pulling it it's
peeling away from the ear canal wall but as it's peeling away from the ear ear canal wall
it's just staying at this kind of sticky sticky blob almost there now it's
starting to move so we've got a bigger piece coming away they're just gonna
tidy up what's on this right side so we can see just beyond this ear wax the
left-hand side of the eardrum there but unfortunately as that piece pulled away
it pulled all the ear wax from the left side but it's left this large chunk of wax
here to the right-hand side no this is a little bit more awkward because when you
look into the ear ear canal can you see the ear ear canal on the right side they're jets out
just ever so slightly and then folds back in again as it gets closer to the
eardrum so what we have is almost like a little lump in the ear ear canal which means
that this ear wax at the moment is trapped behind that lump and the eardrum which
is going to be a little bit more problematic to get out because obviously
the tools we use are straight they won't go round a bend very well so what we
have to do is try and maneuver the ear wax out of that gap
which is what I'm trying to do here so very gently trying to get a grip on like
you so you're just trying to lift some of the ear wax away without touching that
little lump on the right hand side and without touching the eardrum so it's a
really delicate process you can just see the top of the ear wax there so I'm trying
to work on different parts of the ear wax because I think that this ear wax is is
probably all stuck together in one long strip you can see it there so what we're
going to do is use the fine end which is what you can see here so it gives us a
smaller a smaller end to work with and we're going to try and grab this ear wax
using the section and try and lift it out of that gap out of that kind of
v-shaped crevasse as it gets to the towards the eardrum see we just got a
grip on the bottom section of ear wax there
they're just starting to peel it lift it out of that gap very gently trying not
to touch the ear ear canal walls on the right hand side trying not to touch the
eardrum I'm trying to hold on to the ear ear wax so we're really it's always more
difficult when they get into these kind of spots here now we're starting a bit
of a little broke away there
now we're starting to see it's starting to lift out of that gap in a much bigger
chunk now you see they so always we've peeled the bottom layer up we just need
to try and move it the rest of the way and there it comes so right you can see
there's a little tiny bit of ear wax here that's actually stuck above the head of
the hammer bone so I don't want to take that away only because the head of the
hammer bone juts out from behind the eardrum to push it protrude slightly
through the drum now if I go pressing onto that with the suction tube I run
the risk of really damaging the skin it's so thin so I'm going to leave that
piece they have taken all the offending ear wax away that last little bit there is
gonna come away with things like baths and showers now we've got rid of the
rest of that so we've left a bit there just for safety reasons because we don't
to do any damage to the ear drum so this is the same patient at the second ear so
you can see this ear wax it's also quite soft but there's a little bit more a
little bit more of a harder chunk in the center so that's where the what the the
drops haven't actually managed to get to this bit so we're just gently at the
moment lifting top and bottom to move it down
the ear ear canal yeah just some softer pieces there on the outside edge he's got a bit
of a sheen to it so we're just getting behind that now to the harder section
there so we can try and lift this and maneuver it out of the ear ear canal it's
still quite soft around the edge to the left-hand side there and that's what's
sticking it to the ear ear canal walls it's trying to come out so we're just going
to keep breaking little chunks off and make this small enough to get it out of
the ear canal see there's with a dry skin there underneath
that's another piece broken away there now we start and see the bottom edge of
the ear wax see a little bit of skin at the bottom of that that chunk and there we
are so the lovely shiny eardrum and that
side so this is what we removed from both ears we will show you the tank as
well in a seconds they'll obviously a lot of got sucked into the tank from the
first ear so it should pop up on the screen in a second for you there we go
so you see all there all the bits floating around in there you very much
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the next time take care