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 ear wax
removal compilation video today so you
can see from our first patient here one
ear very blocked up you can see that
we've got some very hard dry ear wax at the
outer portion of the ear canal here but
attached to some dry skin behind which
is why it hasn't really migrated out
very well so I'm trying to use the
standard sizes on the tube here to lift
this ear wax from the bottom of the ear canal
box it's quite firmly stuck there so we
can start to peel this dry skin way
behind so as you can see we're lifting
from the bottom there just trying to
free it up from all the ear canal walls you
can see how firmly stuck firmly that
that ear wax is stuck there at the moment so
we've got a good grip there now as we
pull you can start to see the little
ribbon of dry skin that's been holding
all of this in so working this out to
the outer part of the ear canal here
still trying to hold on to it
the difficulty with dry skins it holds
on to the ear canal walls really well
obviously we don't want skin coming away
from our bodies if we possibly can so
this one will hold in really tightly the
difficulty we have then is when you're
trained to suction it away especially
when you got a grip on this ear wax here it
means that the the skin holds everything
behind it so we're going to use the
crocodile forceps and I'm just going to
slow everything down so you can see this
coming away getting a good grip this is
on the outer part the ear canal so we're
not in the ear canal at all here and just
pulling I was hoping to get this away
one long strip but you can see it all
coming away there we go just saw the
back end of it coming away now if we're
looking again you can see that's brought
the next section forward so we're gonna
get a grip on that one slow in the video
down again and just pulling this through
you can see a bit more clearly there
that long strip of dry skin that's been
holding everything into place
and a little bit left at the bottom this
will just grab that with the forceps as
well patient feeling much much better
off this comes away
most patients experience that would tell
me the experience a bit of edginess
afterwards because if you imagine we've
taken all this old dry skin away it just
leaves that kind of itchy sensation of
these threats come away and see how long
these strips were one was a just over
centimeter the other one the same really
saw just on the tour now sent bits got a
quick to about an inch I think here we
are bagged on an inch so you can see
that the darker section to the
right-hand side of both pieces that was
the ear wax but look at how long those
strips of dead skin were behind it this
is a second patient in the compilation
similar story gentleman's comes through
very blocked up on one side very
impacted ear wax we seem to again a lot of
older dry ear wax coming through at the
beginning part of this year so a lots of
impacted deeper type ear wax is coming
through what we can see here we've got a
slightly elongated shape to the ear canal so
rather it being a more standard rounder
shape this is more of an oval shape the
ear wax that you can see has an indentation
at the bottom to the bottom left-hand
side there that's from using a q-tip
patient you're in desperation has been
trying to use q-tips to clear this out
just to try and get some relief but
unfortunately it's compressed the ear wax
against the ear canal walls which just makes
it a little bit more difficult to remove
so you can see I'm working down that
left-hand side now across to the right
hand side trying to unstick this ear wax
it's very very dry crumbly type ear wax this
one it's it's that we saw in the video
on Monday I think it was we had we had a
really dry type of ear wax this is a very
similar type as well today
so just introduce a little bit of olive
oil which is going to help to try and
loosen this off the ear canal wall just
sectioned a little bit into the machine
there's a clear the suction through so
you can see I'm adopting the same
technique which is just to gently scrape
along the surface of the ear wax okay not
too deeply but just just as just a
really scribble on just a
break any looser pieces away you can see
the film of all of all those we pass
through that layer but see there's no
dark and thick this ear wax has become
George loosening here just starting to
take some of those pieces away there
there we go you can see it's starting to
peel away now from the left-hand side
where they aim for this very very narrow
pinched Valley here at the bottom just
lifting this is just due to the shape of
the ear canal it's because it's that oval
shape we get this very narrow pinch
point at the bottom so it's really
wedged in here you can see we're getting
a little bit of movement to the ear wax you
know as I've said in videos before you
feel hold onto the ear wax and gently rock
back and forth you look for looser
sections of the ear wax you look for where
the ear wax has got the most movement and
you know that bits gonna come up next
but you can see here that it's really
rammed in there now we're gonna use the
Jobson horn to try and break some of
this down okay don't go in too deep with
it but I want to be able to break some
of it away so that gives me a bit of
room in here to peel the sides away so
just slowed it down a little bit to
watch this coming away here we go you
can see we've got that front section and
we've taken some of that little pinched
Valley at the bottom away as well
now that's going to cause a groove down
the centre of the ear wax which means we can
then fold the ear wax in a little bit so you
can see here we've got that groove now
in the centre because we've still got
this a lot of ear wax debris in that Valley
I was hoping a little bit more would
come out with the jobs in the horn there
but now we're starting to peel away from
the sides you can see it's a lot easier
now we've got the room to peel this
across there's bits of dry skin in here
which are these long strands you see
pulling away from the ear wax there though
all those are getting sucked into the
machine now we're gonna work on this
dark section at the top here peeling
across you can see the white of the dry
skin that's underneath it now trying to
lift out of that valley again
can you see the white layer there just
as we left that's a bit of dry skin
that's been underneath the the ear wax so
we're just gonna scrape along a surface
again now just take any looser pieces
away because you can see as we move it
you get these little furrows that appear
a little bit start lifting from the
surface let's put a little bit more a
little bit more olive oil in here so if
we can loosen this a little bit more
always difficult when you don't when the
ear wax is is pressed against the ear canal
walls like this one is you've got very
little wiggle room especially if you've
got a very flat surface the ear wax as well
which is what we have here so the normal
technique of wiggling back and forth
doesn't really work because you can get
a grip on it but it doesn't have the
manoeuvrability there's another room
either side to be able to move it out of
the ear canal you can see now the ear waxes
start to penetrate just above this top
section here so it's gonna be loosening
that section away which is why we're
getting that peel now look can you see
that coming down so I'm gonna lift this
from the back end here just starting to
peel some of this section away we're
gonna see lots of flaky bits of dry skin
in here I'd imagine looking at the
consistency of the ear wax this dry type ear wax
you unless it's very old which obviously
this is as well but tends to be when you
get really dry skin issues inside the
ear canal as well you can see just how
much it's peeling along the could tip
healing down how at the top there how
firmly attached it was to the ear canal
walls
here we go son I got a bit of movement
to that top right section now really
peeling that way you can see the whole
top section this ear wax is starting to fold
forwards
just slow in this down so we can get a
grip there we go you can see this coming
away so that's the top section gone and
you can see it's really loosened that
that top layer now so we're gonna get a
little bit of movement now let's see if
we can lift up no we're gonna have to
fold forwards down from the top down
there we go see the movement to the
whole thing and just see the whole side
start to move forwards slowing this down
again there we go so we're peeling that
top section away now you saw a long
string of dead skin coming away behind
it then and it's trying to lift up from
this bottom section you can see a lot of
that white dry skin there as well you
can start to see the pinkness as well to
the ear canal walls here where it's been
aggravating the ear canal walls so quite
tender for this patient there we go out
it pops up behind that little bit of
loose ear wax there at the top so I'll take
the other way you'll see this whole
section there we go fold into it there's
another piece there at the tops get rid
of that okay so what we're left with now
we can start to see the ear drum there
at the bottom we've got these two
patches of dry ear wax at the top a little
tightening Knobbly of ear wax to the bottom
right hand corner there as well
everything else you see in there is dry
skin so I want to get rid of the ear wax
first let's peel this section dough a
little bit of olive oil got the cameras
clear that way before we do anything
else
here we go and then we're going to peel
this top section down
slowly there we go
LT comes we've slowed this part the
video down again I know you guys have
mentioned you like the slowing down so
I'm trying to do that as much as I can
this little piece here to the right-hand
side let's get rid of that okay now
they're ear canals you can see look how pink
and aggravated they are so I'm going to
go very gently and see how much the
patient can tolerate of clearing some of
this dry skin weeks it's gonna be quite
firmly attached and we're gonna have to
dig into it to try and remove it and
patient was finding this a little bit
uncomfortable now because we got rid of
the ear wax the dry skin will dry out and
will come away on its own now so we'll
train clear as much as the patient will
tolerate but they've already sat through
quite a bit so you can see the edge and
we've fixed the problem as far as the
hearings concerned rest that dry skin
will migrate out you can see how dark
ready brown colour long strips in there
in the middle lock of dry skin as well
so quite a bit coming up one ear it was
very deep and impacted thank you very
much for watching our video today if you
did enjoy the video then please like if
you'd not subscribe to idea you'd like
to do so you can click the subscribe
button here if you'd like to check out
some more videos there also up there now
if you want to follow us you can do on
Facebook Twitter Instagram and also
check our website if you want to know a
little bit more about us as always guys
until the next time take care