hi everybody my name is Rhys Barber I'm
the audiologist here at audiology
associates we upload new earwax 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 watching the earwax
removal video today I apologise about my
voice I've got a bit of a cold so I
don't sound like I normally do but this
gentleman's come through he has had a
hearing testing work he has routine
hearing test done quite regularly and
whilst they were looking in the ears
before the hearing test they noticed he
had some earwax in his ear so he's come
along to clear it today to get this
removed now what we can see in the ear
ear canal here is at the entrance we have
some dry skin we also have some hard earwax
so the micro microsuction tube couldn't quite
get enough grip to pull this out so
we're going in with the Jobson horn just
inside the entrance to the ear canal so
you'll see it's quite hard this earwax it
doesn't want to come out easily it's
really tough old stuff so what
I'm doing is just breaking down the earwax
at the entrance to the ear canal I know
there's a couple little downy here is
there but we'll get past those in a
second but this earwax was literally at the
entrance so we need to work quite
close to the outside edge what you can
see at the moment is it starting to
break away and starting to come apart in
smaller pieces which are attached to
bits of dry skin that's where you can
see pulling away so as I'm pulling this
out them kind of unraveling this so
possibly a little bit of a precursor to
Caritas doctrines in here I've got the
crocodile forceps now to get a grip on
this long ribbon of skin and just want
to get that out of the way so we're
going to grab the next piece now
obviously this skin has been holding
some of the earwax in here as well so I'm
trying to tease this apart first of all
just to allow us to get to the offending
earwax behind them so you'll see a little
bit difficult spot they were the hairs
but with a little flap of dry skin there
we just got a grip off with the
crocodile forceps just clearing all that
away so we can get to the next block of
earwax behind so there we go you can see
the next piece starting to soften a
little bit now this earwax so we've gone
from the very hard dried-out section at
the front end there to a softer type of
earwax in the middle just gonna do a bit of
tidying up move some of these sort of
flaps of skin around in here see if we
can manoeuvre it to get better grips with
some of the other tools using the
section to do that at the moment so
we've got a grip on a piece of skin
there
it's just blocking the microsuction tube so
we're trying to hold onto it using the
section on a force there so we're gonna
use the crocodile forceps to pull this
out you see it's actually quite hardened
up the skin here we are you see it's
starting to pull in these ribbons these
long strips of skin and watch as we pull
these there can you see this long ribbon
of skin that's going into the ear canal
basically this is sitting around the earwax
you'll see there that you can see that
the earwax is kind of caught in the middle
of this long ribbon so we're gonna go
behind that now and pull a little bit
further so what you can see is it's a
long ribbon of skin coming away again
there so just going in there with a
crocodile forceps just to clear away
some of this excess skin just allowing
us to get to the get to the earwax behind
there and if you do enjoy the video guys
and you don't mind it will be really
helpful if you guys could like it and if
you haven't shared one of our videos
already give it a share I'd love to see
how many views we can get on this video
but you guys are absolutely fantastic
it's kind of pushing the videos you
doing really well and subscribe
accounts growing up all the time so it
very thankful for that now we've got to
the deeper bit of ear wax here so you can
see just using the microsuction to manipulate
this a little bit sometimes with the
microsuction it doesn't have the ability to
hold on tight enough and you can't turn
up the microsuction too much on these
machines because obviously you can cause
a few
problems in the ear canal so you can see
we're just manoeuvring this at the
moment yeah we are just trying to pull
this away there you go in fairness to
this gentleman he wasn't expecting to
come in with this volume of ear wax and skin
so he's sitting through a lot here bless
him he was expecting just to come in
have a quick clearance because he's had
ear wax problems in the past but not
expected to have to sit through as much
of this so he did really well
bless him just trying to get a grip on
the deeper pieces of ear wax now we've taken
a lot of this skin away you can see a
little bit more coming away now when you
start taking another way that the ear wax
blockage itself starts to lose a bit of
structure so it means it breaks down a
lot more easily and we can see here now
it's starting to loosen that we're
starting to get to the big pieces of ear wax
coming away maybe I was starting to get
into the deeper portions of the
ear canal now so we're coming to coming to
the end of this
here we go just loosening from the top
there you can see now we're starting get
smaller pieces breaking down able to
sort of tease this apart a little bit
more still lots of quite dried up ear wax
and skin mixture in here so coming away
nicely they were down to our last couple
of pieces now a couple little dry flaps
of skin in here now obviously this has
been building up for quite some time but
unless the Gentle had known you know he
had a hearing issue but it's probably
crapped up on him very slowly over time
so we've got this little dry bit of skin
you got a last piece you can just start
to see the eardrum there
the last piece resting against the
eardrum patient was starting to feel a
little bit uncomfortable by this point
so I just wanted to get this last
offending piece away so obviously we've
stripped out a lot of dry skin and stuff
in here and we've sat through a lot of
microsuction you can see just how much of
this dry skin is pressed against the
eardrum so we've got to get this piece
out here we go so it's on its way out
just gonna go back in and take another
look there was a little bit of that skin
material down by the eardrum or the rail
it's gone so gonna just fold that flap
of dry skin down there you can see the
eardrum there looking a little bit messy
but understandably so I didn't carry on
and take little tiny bits away or peel
that dry skin and we cut through so much
it obviously you'll see in the edited
version so you were sat in a chair for
about 30 minutes altogether so I see a
deed kind of kind of got to the end of
her he's had enough about doing out here
by that point so this is the same
gentleman now but the second is here you
can see we've got really hard tough
ear wax in this one really brittle look
really solid bound in there quite
tightly so we're using the Jobson horn
to take this away
it's just aiming for the little gaps
above the ear wax and
we've got to put quite a bit of pressure
on this to break through the ear wax at the
moment it's to well form to the
ear canal wall so I can't get it out easily
but we've managed to get a little bit of
purchase to the ear wax now so you can see
it's slid down the ear canal out towards the
outer part you can a little bit better
so we're at the entrance now so we're
just gonna keep breaking some of this
away there we are now were able to get
in a little bit deeper behind that ear wax
still quite tough so you can see we've
kind of ledge in there at the moment so
we're just gonna take some of the looser
debris we can see just how hard that is
to pull quite hard with it on the
microsuction just to even manoeuvre it so it's
it's tough old stuff just gonna try and
lift this side a minute there we are you
can see the layers have kind of dry skin
and ear wax they're just trying to peel it
away and sticking it from the ear canal give
us a bit of gap to get down the side of
it there with the crocodile for SAP
they've got a bit of movement taking
away some of the white you can see it
pulling their long head of strips of dry
skin again so we're just gonna trigger
them delete the next piece as we're
pulling this that the skin can sometimes
be either a help or a hindrance it'll
either help you to pull it out or it'll
hold it all in there at the moment it's
being a help so we're just gonna think
this bit of skin a bit too thin it's got
a pretty heer theory I can see it
breaking away so we're just gonna use
the microsuction now just to tidy up the
loose a bit and then you can see that
block is starting to get a bit of
movement to it now there you go so
pulling away all that all that all the
side pieces trying to bend and flex this
ear waxing a little bit more so we can get
behind it there we are now you can see
that that's the back end of the ear wax they
were just gone behind so we managed to
get a good chunk out there a bit more to
come but you go Braxton's squihed it
against the camera you can see it's just
quite dry at the back a little tiny bits
of hair in there
quite solidly held in trying to get the
best position really to get behind it at
the moment let's get rid of that over to
the weight just using the crocodile for
sets because the front end is quite
narrow sometimes we can get a grip of
the forceps on that narrow section and
it'll pull out but we've just managed to
move it to get a better microsuction grip
there now when we started to get a good
microsuction grip on this there we are
if we take a look is the eardrum so this
is what we removed altogether so you can
see there's quite a bit we do a little
bit closer in a second but you can see
there's quite a lot in here so lots of
debris so this is what came out of both
ears you can see the long skin strips in
we look at that one that's what two
three nearly four centimetres long that
one piece of skin on its own so what's
that two and a half inches I think
they're boats so yeah a fair bit as
always guys we did enjoy the video then
like share and subscribe
you very much watching our video today
if you did enjoy the video then please
like if you'd not subscribe to idea
you'd like to do so you can click the
subscribe button here if you'd like to
check out some more our videos
there also up there now if you want to
follow us you can do on Facebook Twitter
Instagram and also check our website if
you want to know a little bit more about
us there's always guys until the next
time take care