hi everybody this is rhys barber from
audiology associates thank you very much
for watching our
ux removal video today uh we're doing a
top 10
of my personal favorite uh ear wax
removals
so this is number five so what we've got
in this
uh year today is you can see we've got
some
very hard uh ear waxy type
material at the entrance here but as we
get a grip on this with the standard
size on the tube
what you'll start to see is as we pull
away from the sides we can actually
start to see a little bit of
a dry skin there as well so we're going
to use the jobson horn now because that
is not really budging with the with the
standard size on the tube
so let's pull this forwards you can see
it's quite
tough it's actually breaking away over
the top of the
the the skin and ear wax there and as we
pull this out you can
did you see that strip of skin come away
so
this looks like it may well be a skin
issue going on here
so we're just going to pull this down
there we are we start to see a bundle
of skin and ear wax unraveling you can see
it coming
look at that there you can see it coming
away see how this is curling off and
into the ear canal
so i'm just trying to use the jobson
horn just to get behind the next section
bring that
forwards which has brought out more skin
again so this is one
long skin ribbon at the moment so i'm
just getting a good grip
on that section that broke away with the
uh with the crocodile forceps there
just gonna try and lift this next
section with the forceps if we can
just starting to kind of tease out just
a little bit there
pulling away just ever so slightly
trying to lift that bit of skin there
like from the bottom to get a good grip
that's not quite there so back in now
with the jobson horn
you can still see there's quite a bit
left in here this is more of a kind of a
ear waxy
uh a ear wax kind of discharged here just at
the the
entrance to this part so what we've got
here is almost like a
a skin ribbon surrounding a ear wax plug
so i'm just trying to loosen some of
this off we're using the
standard size on the tube here to try
and get a good grip to bring it up
off the base of the ear canal here
give it a good wiggle try and get this
out of the ear canal
now we're just starting to see that that
entrance uh you know that ear wax and skin
coming towards the entrance there if we
can get a good
solid grip here
see how it's unraveled that next section
look the whole thing's starting to
unravel
and we'll pull that piece look at this
coming away
look at that long long
piece of skin still going
i'm at the shift position
let's try and grab it further if we can
try and keep the one piece we normally
try to
still going still going there we go
wow very very long skin ribbon there
just aiming to grab this neck section
you can see the ripples at the entrance
to the ear canal where the skin tries to get
out but then it kind of concertinas up
so you end up with this kind of rippled
effect there at the entrance
another big plug of skin coming away
you've got to remember that some of
these things start off with just one
detachment
of skin and what you get then is it all
just wraps around itself
and it's trapped you can see this deeper
section of
of ear wax here let's trap that in there
trying to get a good grip on this
sometimes the
the the ear wax will dry around the piece of
skin
that may well have happened here so just
trying to oh no
there we go we've unraveled it was
actually another piece of skin wrapped
around it
it's coming away really nicely now
just pulling forwards there we go slap
it's gone let's loosen the next section
let's get a grip on this with the
forceps you can see another bit there
just at the top
oh my goodness we're still going with
this piece of skin
it's pulling apart now but it's it's
kind of rather than keeping in one
solid piece now it's pulling in these
lots of these little tiny strips
and as we're suctioning now we're we're
just unraveling it's like i'm doing a
knot
you kind of get a grip on a loose end
and it all starts to kind of pull apart
unfortunately you can see the skin uh
where it's been detaching from the ear canal
walls it's just now flicking up in front
of the suction
uh which which just hampers the suction
just ever so slightly so you can't pull
it out
as easily as you normally would very
very deep
section here trap behind that little
lift of skin
that's gone now we've got another
leading edge of uh skin there
just feeding in
it's really kind of tightly bundled down
there next to the eardrum
let's try and tease this apart there we
go another big chunk gone that's gonna
really help to loosen the section
still can't see the eardrum yet though
and another piece
it's really starting to come really
starting to loosen up a little bit now
that lift to the right hand side i think
if that wasn't there we'd be able to see
part of the eardrum now
so much debris dynamic just see the
eardrum to the right hand side of this
plug
it's trying to tease this
we talk about this valley we've got this
collection of skin and ear wax sitting just
in front of the eardrum there
there we are just hovering above it
trying to suction
up and into the into the end of the zone
tube there try and pull it out that
valley there we go we start and i see
some of that skin come away
oh my goodness that's really jammed down
there bless them
okay so out that comes there's gonna be
another little bit left on the bottom of
the ear canal wall
there we are
wow that last little piece got suctioned
in there
you can see that the actual uh a lift
off the top of the eardrum there which
shows you where that skin is actually
formed
from where it is detached from um so
this is the same patient now with the
second ear
so we've got quite a hard uh plug here
whereas the
the skin was a little bit wetter a
little bit more moisturized on the other
side
this is we've got this hard sort of a
tough old plug on this side now
now this may well be skin but sometimes
you get ear waxed this color as well
especially if you've got a dry skin
issue
look how that crumbles away see the
difference in the consistency
when you've got very dry ear canals uh
you get you tend to get this kind of
very
crumbly lighter colored on the outside
darker color on the inside ear wax which is
exactly what we're coming across now
look you see i'm trying to use the hard
edge of the ear wax oh that's great so we
just managed to get a good chunk coming
away there
using that hard outer shell to the ear wax
to draw this down
it's really coming away nicely now
now what's happened now is we've got
this uh layer around the outside which
is still quite firmly attached to the
ear canal wall we've managed to pull the
center
of that out so we've just got this kind
of husk
around the outside of hard hard ear wax and
skin debris
now personally i think uh now i
i would do i'm doing it i'll go i'd lift
off from the ear canal wall and see where
you get the forceps underneath it
because you do tend to find with this
kind of this hard or outer shell to
these these types of ear waxes
if you can get that there you go if you
can get the forceps underneath uh
you can sometimes really hold on to that
outer section
as you draw that it'll bring the whole
thing out in one go
look how that is unpeeling there we're
just taking this weight just unpeeling
from the ear canal wall
there you go there's the next section
olivia it's actually brought another
section further forward you can see it
there
let's see if we can get it's a very thin
piece
she's still on that edge i don't know if
we're going to be able to use that to
pull this out we may have to go back in
with a section of the jobson horn i
think
there we are there's the suction let's
see if this manages to loosen a little
bit
you can see it's still really firmly
dried onto that ear canal wall in places
can we get behind it here with the
jobson horn is it far enough forwards
yes there's a little gap there at the
top is it going to bring the whole thing
out
oh i think we just broke the top layer
off let's try and get into that
next section whoa splat hits the camera
let's say this next bit
oh it's really dry you can see the the
consistency
uh change as we get a little bit deeper
in
get into this much much older material
here
we should be able to get behind that uh
with the jobs now we're going in with
the
perhaps okay
slowly slowly working this out
there we are lovely that's come away
really nicely
perfect you can see that kind of like
red wow
we went right off the ruler with this
one so my goodness we're way past 15
centimeters here
um i would say that's probably close to
about 20 so look at that
one skin ribbon there 10 and a half to
14 centimeters that is a huge skin river
that kind of fought to four to five four
five and a half inches there
my goodness i mean that was a big skin
ribbon wow that was a really really good
one
well thank you very much for watching
the video again today guys
i hope you enjoyed it if you did could
you please give us a thumbs up and if
you're not subscribed already
please consider subscribing and i shall
see you for our next
top 10.