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 happy
merch day our merch is going live today
I will explain that a bit later on thank
you very much for watching our ear wax
removal video
this gentleman's come through with a
very blocked up here he's had an outer
ear infection which he's had treatment
for but it's the treatment that we tend
to use for outdoor ear infections we've
also into drops into the ear which can
drastically change the consistency of
the ear wax so what you can see here is
we've got some ear wax in here we've also
got these very dry skin pieces here that
have embedded in the ear canal as well so
sometimes the infection can actually
aggravate the skin so you will get this
pillage of skin under these so what
we're working on here is almost like a
little sleeve of skin that's surrounding
the ear canal so we're using the standard
size on the tube here just to start
removing some of these bigger pieces
you'll get a good look at some of this
as it's coming out see these long thin
strips there you'll get a better view of
what these sort of thinner plates you
can see the skep separation of the skin
layers there as well just getting a grip
on that trying to peel it out or see the
ear canal isn't not particularly big so we
can't get a lot of sideways motion in
here so I'm just trying to get as much
more wiggle on this as we possibly can
you know just slowly working its way out
trying to get a good grip there can you
see the white skin underneath the
separated skin layers there we go nice
big chunk coming away they're switching
to the fine ends now because we can see
we're much much thinner layer you can
see where the skins with aggravatin at
least let's see the separation there
just trying to lift these very thin
pieces away as far as treatment for the
outer ear infections because most people
will clear up usually within a week of
using drops we tend to follow our pace
if they come in with an ear infection
and we tell them to go we get some
treatment we then follow them up after
the treatment because it's quite common
to get these problems you can see we've
got this thin layer now at the top we
can use the crocodile forceps just to
get a bit of a grip on this and pull
this away look there you go you can see
all that peeling out of there long
strips on this ear canal coming away now
yeah looking that you can see you got a
bit more bit more there to the out
dissection let's get that out of the way
to give us a better view so crocodile
forceps again trying to pinch onto it is
far on as we can to get a good grip
gentle pulling there there we go look at
that peeling away off the ear canal see
these long long strips all the time
coming away so we're getting into the
deeper sections now closer to the
eardrum um we are launching the merge
today me and mrs. B will do a video
about that at about half past 9:00
tonight so about half an hour's time
we'll pop back on and do a video just
explaining what's going on there so keep
posted for that one now you can see now
you've got this layer at the bottom
that's lifted up let's lift this trying
to keep the whole thing as one piece if
we possibly can
the difficulty is these because these
tend to be quite hard pieces they shear
as you put pressure on there you go you
could see that one was doing the same
thing that just sheared away so just
trying to get a grip on this next
section now you can see how it folds and
flicks up so we're gonna go back with a
suction see if we can prepare this again
now try and peel a little bit more away
you see its lifting its lifting quite
loosely on one end but you'll start to
see then it's still quite firmly
attached to the ear canal wall on on the
left hand side I'm trying to peel that
away when you're peeling this type of
material because it's slightly harder in
texture than normal ear wax as you're
peeling the way it tends to flick back
to Train revert to its normal form
against the ear canal but usually makes it a
little bit difficult to pull away so
we're just going to use the crocodile
force up see if we can get a grip now
we've pulled that section we're gonna
tease that out there we go look at that
coming away there nice big chunk of
bereans skin you can see I took a great
chunk of that our way on the left-hand
side we can see the top of the eardrum
they're very base of the ear canal we've
introduced a little bit of olive oil in
here because this last piece now not the
section I'm working on here but the very
dark piece that you can see against the
eardrum will be quite firmly attached to
that drum so we're introducing the olive
oil in there it's really gonna help to
take that away and loosen it off that
drum so we're just getting rid of this
bit of flappy bit of dry skin here
that's flicked up in front of the camera
there you go and then we're just gonna
pop this in now very very slowly working
our way down the ear canal aiming for this
left-hand corner now watch what happens
we get a grip on this the peel is slowly
peeling this across getting it out of
that value just in front of the eardrum
but watch keep peeled watch what happens
it's just starting to get a grip getting
on the edge oil there's no loosened off
there we go all came away in one nice
big chunk have a look now we've got one
last piece together way now I'm gonna
very very delicately go down and try and
get a grip on that flat central section
there there you go lifted just starting
to peel away if we can get a good grip
on this I think we're gonna get a good
peel here there you go so you're all
peel off the aedra in one piece so we
have a look now we can now see the
eardrum you've done looks quite dull
okay but don't forget this patient has
had an outer ear infection so
everything's a little bit aggravated in
there I've got this one little piece
here at the top of the ear canal so what we
do with this we tilt the patient over a
little bit just to get a good better
view of the top portion of the ear canal
this we're just going to slowly peel
this down and then just working this off
the ear canal wall there we I can see just
peeling down they're starting to come
away from the ear canal wall as well watch
what happens when we peel backwards look
at that do you just got this
whole section of sort of dead skin
appeals back with it there you go out it
comes so have a good look at that drum
against there we a little bit of
dullness there we'll go as the skin
repairs itself some of this got sucked
into the regime but you can see these
long long strips very thin see the gray
brown color to them as well that's quite
common following infection see you back
here in about 30 minutes guys thank you
very much for watching our video today
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always guys until the next time take
care