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 watch our ear wax
Removal compilation video today there
are three patients in this in this
compilation just a quick proviso guys do
remember that this is a procedure that's
performed by a medical professional
don't have a go with this yourself
always leave it to somebody qualified to
do it for you
so what we have here is a patient that's
got very hardened that ear wax you can
see we're struggling to get a grip on it
there with the micro section with us all
in the tube so I've put a lot of olive
oil in here just to try and loosen it
from the ear canal wall and we're going to
use the Jobson horn then just to train
manoeuvre this out so you can see we're
just getting behind the ear wax there it's
on its way taking that first section
away there we are
now we've got a little bit of a gap now
a bit of an overhang here on the right
side she's gonna use there's on the tube
just to get a grip on this take it away
from the ear canal wall train manoeuvre this
out if you're looking for if you're
wondering why there was no episode 200
posted as I said in the video before I'm
still editing that one in
so I've skipped forward to 201. 200 will
come out because it's something a little
bit different so it will come out over
the next couple of weeks I will do as a
premier so keep your eyes peeled for
that one guys
so just manoeuvring this out you can see
all the kind of white dead skin
underneath there is being trapped
against the side of the ear canal wall
eardrum looking really healthy now only
look at the other ear this is the same
patient but the second year you can see
that we've got the same problem on this
side very hardened up dried-out ear wax and
it's tends to happen more people who
suffer with a little bit of dry skin
just not enough oil produced in the
ear canal to the ear wax itself dries out quite
easily introduce just a little bit of
olive oil which helps to slide it across
the skin a little bit better
using the Jobson horn
to train get into the centre here
because you've got a hard shell on the
soft Center here we are you can see the
dead skin under there as well and
there's the eardrum looking nice and
healthy behind so that you go you've got
the two piece of watching most of the
piece on the left-hand side from the
first year the piece on the right-hand
side from the second okay so this
patients come through with irritation
there he is not so much a hearing loss
more than irritation now when I look in
the ear here what I can see is a large
flap of skin that's actually stuck just
in front of the edge of only just in
front of the eardrum now we're gonna
start by using the suction tube because
also what I want to do is bring the skin
towards me we can't get behind it
because it's too close to the eardrum so
if you were going to use it you've got
the nice big gap down the right-hand
side if you're going to use something
like a st. barts hook you've got to get
behind up at the skin turn the hook and
bring it out same with the jobs in the
horn you've got to get behind it to
bring it forwards but what you can see
is it's just so close to the eardrum
that you'd run the risk of touching the
eardrum and you can't see behind that
flap of skin so it's going to be really
difficult to remove with any other tool
so we have to persevere with the as on
the tube so we started off with a fine
end but what we found was we couldn't
get a good enough grip because the
skin itself is really hardened up so
this is the standard size zoellner tube
we're using here but you can see just
how firmly attached this skin is you can
actually see it flexing look against the
ear canal wall at the bottom of the screen
this you're going pink white as it's
flexing against it so really
toughened up bit of skin in here and the
one to this patient was having quite a
bit of irritation with every bit of jaw
movement you see that that would have
been moving the ear canal so this piece of
skin which was sitting close to the
agent would have been irritating
tickling rubbing against the eardrum
in the ear canal wall so I've left that
piece alone just for a second sometimes
if you don't aim directly at the piece
of skin you're trying to get away there
can be like a leading edge that might
come further down the ear canal you can get
a grip on so I'm just testing
where these kind of dry skin patches to
the right hand side lead here but not
connected to that piece of skin at the
bottom so now I'm working on the bottom
just trying to lift it off the ear canal
trying to get it away but you can see
it's so firmly attached he just does not
wanna budge so this is back to the fine
ends now because I want to Train aim for
the top section here and see we can pull
that down but you can see that that is
quite attached I've got a little flap
here that's pulling down well if I could
pull this down - it phases out towards
the outside of the ear canal then we may be
able to get the forceps on it but it's
too wide here to get the forceps on and
too close to the ear drop - risk going
in with them so I'm not having much luck
because the skin is so dry it's just
flicking back into place up again all
the time just looking for any player
we can get a bit of purchase on this you
can see trying to lift from the base not
budging there can't get a good enough
grip on it really difficult piece to
remove this a really this is this is
quite a tough one to do obvious here in
the very sensitive part of the year as
well so you're conscious of the patient
now there you go we've managed to break
it away from the left hand ear canal wall
and we've got that out there we are
there's the eardrum behind it a little
bit of scarring to the bottom right hand
corner of the eardrum there but
otherwise looking quite healthy there we
go that's the pieces there we removed so
you can see this so tiny but really
tough little bits of skin really tough
little pieces so this is our last
patient in the compilation so this
patients come through with block tears
on both sides and what you can see is
some very soft ear wax here at the entrance
to the ear canal just using the standard
size zoellner tube here to go in and start
clearing away some of this softer debris
if you've watched some of our videos
before you know that we always try and
work our way around the outside edge
first pulling the sides in detaching it
from the ear canal wall which makes that
central section a lot easier to remove
just folding that top section down now
working on the bottom to remove that
from the ear canal wall
just trying to pull down from the top
left corner as well you can see this is
perfectly formed to the ear canal wall the
patient had experienced a little bit of
discomfort you can see a pinkness a pink
colour to the skin when we take this ear wax
away so you can see that it's been
aggravating rubbing in here and this ear wax
has been pushed right down on top of the
eardrum so you're rubbing irritating the
eardrum as well can see really
struggling to get this away pulling from
the bottom just trying to loosen it from
the bottom section of the drum there
it's moving but very slowly you can
see as we're trying to get a grip
because of the hardness of this deeper
piece of ear wax because it's been in you a
little bit longer it's a bit more
difficult to get a good grip really
really jammed in here this piece you
know it's got to come away because it's
just going to cause more problems for
the patient if it stays here so we're
just trying to break any side down okay
we've literally flooded the ear canal
with olive oil now the reason being it
helps to loosen the ear wax from the ear canal
walls and because at this harder type of
ear wax it will help me to get a better grip
when I'm using the section as well
so what I'm trying to do is leave the
section tube in a spot allow the microsuction
to build which is what's happening here
look and that helps me get a much better
grip if you hold it in place if you're
constantly flicking from place to place
all the time you're looking for loose
sections if you don't get that and no
easy to remove sections then suddenly
sometimes by holding the section to be
on one spot alone in a section to build
you get a much firmer grip but you can
see just how wedge this is now it's
starting to move so the olive oils
actually manage to work down the side
there we go now we're starting to see a
little bit of movement it's on its way
very slowly here we go there okay so
it's just come away there right now
this is what I wanted to show you this
swelling here look to the top of the
eardrum leading on to the ear canal wall
that's the base of the hammer bone which
should protrude up to the right hand
side here you can see all that swelling
above it look so where that's been
rubbing back and forth it's been causing
winter trouble you know if that are
carried on rubbing and rubbing and
rubbing and rubbing it just would have
eventually broken through the skin you
would have a little bit of bleeding and
there you risk of infection as well so
it really did need to come away this is
the same patient now with the second
year so you'll see much softer ear wax on
this side certainly at the entrance
anyway so we're able to get a good grip
on this just taking some of the softer
pieces of weight now we've got to the
harder section behind so we can hold on
to that take that away here we are
ear drum you can see on that side
looking a lot healthier that little dot
there needs to come away as well there
you go and if you're enjoying the videos
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videos every time they come on so there
we go you can see what we removed there
on both sides and thanks for watching
guys
you very much for now video today if you
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until the next time take care