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 hi everybody this is Rhys
barber from audiology associates thank
you very much for watching our video
today we have three ear wax removals in this
video the first rep must come through
not a tremendous amount of ear wax but you
can see it's all seated really deep in
the ear canal not the easiest to get to
either because we've got a very
pronounced Bend so you're looking
straight in let's go around the bend to
get down to this piece so you've got the
ent fine end on here I apologize if
there's a little bit of an echo in the
room I should recording us at home today
rather than in clinic so there might be
a little bit of it at the back with my
voice so we've managed to get the first
section way here but you can see that
there are some smaller sections which
are sitting more towards the kind of
base to the right-hand side there the
ear drum so we're just going to go over
the top of the phone end just starting
to grab that piece they were just
working it out maybe I was just what we
try to do with the fine end obviously we
daughter press onto the ear drum we try
and avoid touching either as much as we
possibly can we really really have to
but what we're doing here is staying
just away from that ear wax using the force
of the microsuction to bring it toward the
I'll bring it towards the microsuction tube
and then just hovering just slightly
above because what that will do we're
going to use the sticky nature of the
ear wax to do most of the work for us so if
we can stay above the ear wax will actually
lift all of this from that deeper
section which is really difficult to get
to they can see all pulling from below
up into the microsuction tube so I'm not
really moving the microsuction tube tube too
much they're just hovering above it just
that pulling that out you could there
yeah and we'll just take this section we
here at the bottom you can see
everything's getting sucked inside the
the tubes there'll be no ear wax shot at the
end of this one is the ear drum that's
all pulled it out so so second patient
the compilation this lady's comes
through
with reduced hearing of both sides so
very soft and sticky ear wax here so
you'll see that we've got the larger
microsuction tube in here
just getting a grip now normally if it's
really soft ear wax what you'll do is soon
as I put that microsuction tube on it'll
start getting sucked into the machine
but what we can see is actually a layer
of skin
so as we're microsuctioning it you can see it
pulling away from the ear canal wall there
at the base there you go slowly feeding
out here it comes so where the a section
of skin there in the center with a piece
of ear wax at the end here we are you can
see the ear drum there and we've got a
similar problem on the other side so
this is the the other patient at the
other sorry the other ear of the same
patient so standard size zoellner tube
again just getting a grip working this
ear wax away from the ear canal wall maybe I can
see it slowly working out there so your
unpeeling away coming away from the
earth sticky ear wax they're coming away
just lifting when moving wiggling it
back and forth is the wiggle everybody
there you go so we're just taking that
away now now what we have here are some
quite long flaps of skin around the
outside edge of the ear canal so I just want
to take some of those away on the other
ear canal what you could see there is
somewhat littles or yellowy orange bits
left was actually just some staining
some oil to the ear canal wall but this is
actually skin so I want to try and get
these bigger chunks away there there we
go so just have a good look at that
eardrum here we are and this is what we
removed you can see how far it stretched
as it came out of the ear canal so the
first piece is just under 17 and a half
just under half an inch and the second
piece is what came over the second EF
last patient in the compilation today so
you can see we've got some very soft ear wax
really close to the outer part of the
ear canal which is why we're having to
keep the camera Jess behind those Scylla
which is what's causing that blurring
effect but this patient really
chock-a-block with wet sticky ear wax so
we're just going to use the standard
sized zone or tube here just to clear
away the entrance while I'm just
clearing this away thank you so much for
your responses and your feedback -
episode 200 I think on the whole it was
really well there are some tweaks that I
think I'm going to take from your
feedback that we're gonna that we're
gonna do next and we do that I think we
will do another one but next time we're
gonna make some tweaks but I just wanted
to thank you so much for how positive
you were about Leah being on the screen
as well she was so nervous before she
went on camera and she was absolutely
petrified about the reactions but you
were also positive as I knew you would
be so thank you so much for that we are
having a really good week we have
episode 200 grow this week we've had
both myself and Leah won a competition
for a wedding photographs that came out
this week we were that was absolute
fantastic and I think we have officially
now become the most subscribed
endoscopic ear wax removal Channel
while you case uk-based watch from all
channel on YouTube and that is amazing
you've done so well the channel is just
growing and growing and growing all down
to your effort so thank you so much it's
right back to the ear wax removal you can
see here that we've got some we've got
rid of some that the looser wetter
stickier ear wax at the entrance at the
ear canal there but you can see we've got
this much harder thick deep piece here
now what I'm doing with this is holding
on to it to try and build the section I
want to bring this forward so I can get
the jobs in the home behind it it's so
thick and sticky but I don't it as deep
as it is to go in with the Jobson horn
because I've got no idea how long this
piece is so if I can work it to the
outer part of the you can a little bit
more which is what I'm doing now that I
can more safely get behind it than other
jobs and on to bring it forwards so that
we can get this out in a large piece if
possible the problem of this sticky type
of ear wax is the wiggle which normally gets
most things out as you wiggle the ear wax
back and forth as you can see here it
goes from sticking it to one ear canal wall
to the opposite ear canal wall and back
again so microsuction really doesn't cut it
on this one we just need to get in there
with the with the Jobson so now we go to
the outer part that you cannot we can
safely just go in just inside the ear canal
you see to get behind this piece now
slowly maneuver this out you can see
just how thick that ear wax is there I will
take a look behind and there was just
one big plug at the back so there's the
eardrum so this is the same patient with
a second year so you can see very
similar story on this side very wet ear wax
at the entrance that Sheen to it the
light bouncing off it means that it's
wet and I know the patients use some
olive oil in here as well now what you
can see is as soon as you take that
initial wetter section off the front
there you get straight into this thick
stickier more kind of hardened up ear wax so
it just goes to show on this video that
what the olive oil does
it softens what it comes into contact
with now obviously when you take that
first layer away then the layer
underneath hasn't been softens you get
this much stickier thicker kind of
consistency to the ear wax still using the
standard Cezanne the tube at the moment
just working this forwards same plan is
the on the other side where they bring
it forwards as much as I can before I
start using the Jobson horn luckily some
pieces are breaking away and are coming
away so we'll get those away first of
all just sort of tidy up all the looser
section you can see the dark darker
pieces of ear wax there now so just getting
a grip on that and sticking from the
ear canal walls I was any regular to the
channel no that's what we do first to
try and help to remove this I did really
comment the other day from somebody who
says that they used this technique when
trying to get peanut butter out of the
jar and apparently works for peanut
butter as well so you can see that just
unsticking all from the ear canal wall
slowly pulling it into the center there
we are now we can unstick we can start
maneuvering this out you can see just
really kind of sticky thick lots of haze
embedded in it so yeah lots and lots of
bits involved in this just wiggling this
up and down now it's quite firmly wedged
in there now so I'm going to try and
bring it forward as much as I possibly
can you can see it's almost flexing
forwards and coming out of the ear canal but
quite firmly stuck so let's get the old
jobs in Hoorn out now and we press down
and you can see that the racks actually
goes a lot further in than the other
side so as we're pulling I'm just gently
pushing down and bringing forwards down
and bringing forwards every time so what
I'm doing it effectively is is kind of
dragging ear wax from deeper into the ear canal
forwards down the curl behind again
until I can get a grip there we are on
the back end of the ear wax nice big jungle
ear wax there
and there's the idiom tool lovely and
healthy you can see just how big and
that from just over a centimeter all the
way to the end that is one piece that
came out of the second year you very
much fortune of it here today if you did
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until the next time take care