hi everybody this is Rhys barber from audiology associates thank you very much
watching our video today we have a very deep seated sticky ear wax for you in
the ear canal today so we have a lot of earwax sticking to the ear drum and the ear
canal wall so we're going to have to remove this quite delicately it's always
more difficult to remove sticky ear wax because it tends to come with much
smaller pieces you don't get the the large chunks that you do with a hard
dry earwax so the first thing we're going to do in this procedure is to
try and remove as much of the ear wax from the ear canal as we possibly can before
we attempt to take any from the center in the ear drum the reason we're doing
that is if you can free up the ear canal walls and you can pull the earwax away from
it sometimes you're able then to get larger chunks that are move more easily
down the ear canal rather than getting stuck to this this earwax on the older
section here you can see the very sticky nature of this wax it's pulling away in
tiny pieces we've always got to be a bit more careful when you use in suction
with sticky all right so it tends to block the end of the suction tube we've
got the standard size zoellner tube on here today so we've cleared down
the ear canal walls now we're going to probe this center section here being very
delicate we know the eardrum is literally just
behind this earwax in some cases that that earwax is actually physically stuck to the
drum so we're looking to try and just pick off any looser pieces first just
working away around the earwax looking for any any give their bearing just don't
see a little bit of movement there in the top right hand corner so we're just
gonna pull them yeah you can just start to see that getting sucked into the
machine just working a little bit more you will see the ear drum move at a
points during this during this video today you can see we've got the hold of
a little piece there so we just take that away the pinky gray color you can
see at the top that's the ear drum itself so we can see this is really
stuck to this drum the earwax would normally form this deep in the ear canal
so I'd imagine this is either following some cute abuse or they've actually
pushed that earwax very deeply into the canal or there was a history
with this this claim that I've been irrigation or surrendering done and not
really helping with with the hearing loss they had so where they impacted it
during that procedure it's difficult to tell we're just lifting some of these
softer pieces of earwax out of this little dip at the base of the ear canal now
we've still got the standards zoellner tube on for the time being but I think
if we get any closer to this drum we'll switch over to the to the finer end you
won't see like you've done we've got a central section of eardrum exposed there
now just see a little bit of movement there to the eardrum so we're just gonna
move across and I work on a slightly different section with more to this
right-hand side yeah yeah I've done two things now because of the sticky nature
of the earwax and the fact is adhering to the drum I've put some olive oil in here
just to turn the loosen it from that drum make it a little bit more a
pleasant experience for further client but the other thing of those put the
finer end on the zoellner tube now because we're working in this bottom section you
could see from the last shot there we were starting a little bit of movement
to the eardrum now we've had a chat with the client they're perfectly happy for
us to continue they're not experiencing any discomfort so we're gonna switch to
the the finer end so that we get more delicate suction done because we're
working in this very small gap at the bottom here if we'd kept the standards
zoellner the top leading edge of that too would have been constantly pressing
against that eardrum which is not going to be the most comfortable of experiences so
we're switching to the the narrower and finer gauge here just to be able to just
to get a bit more accurate suction don't we're physically peeling this off the
drum you'll be able to see this section though it's just coming away there you
go coming away from the drum itself yeah now with this ear drum because the earwax
is so sticky we're not going to be able to get this completely clear today the
aim for this procedure today is mainly just to give
patient there they're hearing back because at the moment they've got very
reduced hearing the sticky earwax adhering to the drum reducing the complaints or
reducing the movement of the ear drum there what we're hoping to do is expose
as much of the ear drum as we can which will then allow that eardrum to vibrate
as it should do again see we're just getting grips on some of this this
deeper seated earwax here if you do like our videos then please subscribe you'll
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I'm just gonna work and you can see the top section is much drier hard a chunk
of earwax further away from the eardrum so we know where the risk of touching the
eardrum by taking this away so we can be a little bit a little bit rougher with
this little bit of earwax nobody comes you'll see in the section now you got a
little bit of dry skin it was embedded in the middle of that earwax we'll take
that away now peel that off the ear canal wall oh yeah
lovely just working our way back doing the ear canal now you can see it because
the fine end can be a little bit more accurate as to where you suction
from so you can see we're taking and stripping a lot of these bits of earwax
away now this piece you can see here is actually the the left hand side leading
bone to the top of the ear drum here so we're still on the ear canal wall at this
point so we're not actually touching the eardrum there at all it's always a much
slower extraction when you're looking at sticky ear wax because you you're not
going to be pulling these larger chunks out so you have to take each of these
pieces individually once you peeling off the skin of the canal
skin of the ear drum there sorry yeah I'm just going to work on this right
hand side this is the savory start at the very beginning of the video I'm
moving down so you've got a little bit of skin and you see the olive oil just
moving around next to it as well we are just clearing as much as we can
at the start the video we will see we were going to use micro suction here
rather than Jobson horn if we use the jobson I'll even see just how much of
this earwax was stuck to the eardrum but the Jobson horn you're going to be
going introducing instrument pushing it into that earwax you're gonna invert
inadvertently be touching this at your Drummond and you could cause a
perforation yeah you can see most of this earwax is just getting stuck straight
into the into the suction tube here so you're not gonna have an earwax shot at the
end of this video because a lot of this is got sucked into the tank at the of
the suction unit itself what we're doing at the moment trying to lift the wax out
from that little gap lift it pull it away lift it pull it away oh yeah if you
do have any questions or if you have any comments please feel free to leave them
at underneath and we will answer as many of those as we can for you so we've
cleared the majority of the ear drum here so the I don't know is going to be
able to vibrate it's gonna be able to pass that sound through much more easily
in fact the client after we finish the procedure we do a hearing test as as a
standard procedure and their hearing was perfectly normal so hearing much better
so the majority that you drum there is clear there is still some earwax left in
this bottom this little groove here but not nothing that's causing any problems
as far as the hearings concerned and it would be quite uncomfortable to remove
that last section of earwax I'm gonna leave that leave that they may be yeah so you
can see the ear drum there well thank you very much for watching again today I
was gonna accept any questions leave them below and as always take care
everybody