hi everybody my name is Rhys barber I'm the audiologist here at audiology
associates thank you very much watching our video today if you've never come
across one of our videos before or if you haven't looked at the channel before
what we do here is post ear wax removal videos we post new ones every Tuesday
and every Friday so if you have any questions about the video that you go
out to watch then pop them into the comment section below and that way then
the most popular questions we can answer at the end of the week so enjoy the
video and I shall see you at the end hi everybody this is Rhys barber from
audiology associates thank you very much for watching our ear wax removal video for
you today this is one patient here so you can see we've got some quite
hardened up ear wax in this in this ear canal so we're gonna use a little bit of
micro suction just to see if we can loosen this off the ear canal walls first
sometimes we'll get a grip and the whole thing will come out it's mainly just
probing it see if there's a looser pieces we can see that if we lift the
bottom of the ear wax the whole thing starts to move but it is really tough so not ideal
for micro suction so we're going to use the st. barts hook for this we're going
to get a nice big hole at the top there so we can get behind the ear wax and bring
it forwards you know it's on its way out so you can see a nice sized piece of ear wax
there a little bit of dry skin attached to the back end of it if you're not
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notification every time we put a new video on so we're just suctioning away
now you can see where this skin is left the only level of dry skin attached to
the actual drum itself so this is still going to cause a few problems on our
patient even though the ear wax is very thin if you imagine that skin is only about
three layers of sorry that eardrum is only about three layers of skin thick so
a very very very thin piece of membrane they're peeling away that nice
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every week it's just using the very fine end here to do some really delicate work
now you can see the color difference between the beige section of the bottom
that's all covered in thin ear wax and the lighter colored section at the top so
that's the actual eardrum itself so we're just very gently taking this away
our patient is fully awake they're not anaesthetised while we're doing this
so we have to be really gentle what the patient will feel is a little bit of a
pulling sensation they may feel the odd mild pinch or mild scratching sensation
as this starts to pull away from the drum itself but constantly talking and
checking in with the patient the whole time make sure they feel okay obviously
we don't want to cause any discomfort or distress for the patient but they were
happy for us to continue and get this off this this drum to help and hear that
little bit better
it's just slight flex to the drum there as we peel this away like I said being
very careful very gently maneuvering this off the drum
you have to have a very steady hand for this because it's you are working very close
to the eardrum
and see we are just starting to get a little bit of purchase there on the right
side so we're just exploiting that way pulling that downwards and to the left
which then should start and peeling it from the bottom section of this ear drum
there we are you can see it all starting to peel away now
revealing the skin the normal skin of the ear drum underneath so just very
very gently moving this out if you put obviously too much pressure on this
whilst it's attached to the ear drum that can cause lots of problems because
you'll cause a tear in the actual drum itself there you go and it all starts to
peel the way so you can see it all come away from the skin of the ear drum now
we're just getting rid of that off the end of the suction tube so we can go and
get this next section here
there we go so revealing the healthy skin underneath you can see what it's
actually dried on the ear canal wall as well so this is usually ear wax that someone's
treated with a ear wax softener and then stopped so what you get is the ear wax has
become softened and then as it dries with obviously the heat in the ear canal it
dries out and then you get this thin layer of ear wax that forms over it really
it really shouldn't be which is always a little bit more difficult to remove but
there we are there's the ear drum so this is what we
removes you can see the first initial piece there just one and a half
centimeters long you can see the other two pieces we removed off the ear drum
next to it then so you can see how small they were
very much for watching our video today if you did enjoy the video then please
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always guys until the next time take care