hi everybody this is rhys barber from
audiology associates
thank you very much for watching our
ear wax removal compilation video today
if you haven't seen one of our videos
before we post new ear wax removal videos
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so in this video today we have three
patients in the video all with ear wax plugs
that need removing of different kinds
so without further ado we'll go straight
into the video
so what we can see here is this
patient's got some very very dry looking
ear wax on the inner part of the ear
there
the sheen to the outside you can see is
actually
a little bit of oil that's coated the
outer part of the ear canal you can see
lots of very
small just getting hovered into the uh
the suction machine there lots of very
small
dry skin flakes there now that's a good
indication that this ear wax will be dry
when we start pulling this out
only because when you have these dry
skin flakes it just
the the skin in the ear canal is
obviously a little bit drier so it is
going to dry the outside of the ear wax
causing these plugs to form
so we've got a good grip there at the
base of this plug
holding onto it really tightly with the
with the standard size on the tube there
you can see me just working this up to
the top left corner to detach it from
the ear canal at the base there
and we're going to draw this down very
slowly
there we are you can just see that
coming away you can see all the little
flecks of dry skin around the outside
edge as well
with this type of ear wax you tend to find
you get this outdoor kind of almost like
a husk if you like of dry ear wax
and this very soft uh ear wax in the center
there
so we've taken that piece away you can
see it sheared off a little piece at the
back
there so we need to get rid of that so
we're just going to take some of this
looser debris
out of the front and then we'll
concentrate on this piece then just a
little bit further in now obviously this
is a bit deeper
i've got a good grip there i've actually
brought the ear wax to the suction obviously
when the ear wax is this deep we try not to
press into it as much if we can only
because
you're going to be working a lot closer
to the eardrum so it is a little bit
more difficult than you you're going to
cancel those cause a little bit of
discomfort and you can see we've
actually got some pieces there along the
base of this ear canal wall
just in front of the eardrum so we're
just gonna just
stay away slightly and just draw that
ear wax then into the tube
there we go
just take that little piece away there
you can see the eardrum there you can
see a couple of little hairs they're
stuck to the uh stuck to the eardrum as
well
now those hairs will wash off the
eardrum
it's really really difficult to remove
those hairs when they're actually
physically stuck to the drum because
you're gonna you have to press the
suction tube onto them
and they're so thin imagine this is the
end of the suction tube that's the hair
as it goes down to it it's not gonna get
the grip and you're not gonna be able to
put forceps on that
so the patient much more safe way of
taking that away just let the patient
next to the bathroom shower
the water will get down and flush that
forwards then take that off the eardrum
it'll come out
so this is the second patient the
compilation you can see we've got a
slightly wetter type of ear wax here at the
entrance
lots and lots of really dense cilla here
as well
so the cilla are these tiny little hairs
that sit just at the entrance to the
ear canal and
they protrude in from all sides so their
job is to form almost like a little mesh
a little barrier to stop the larger bits
of debris from getting
inside the ear canals a little bit of
dust and stuff like that so that's their
job is to form like a little barrier a
little net
to catch all those things before they
get into the ear canal and obviously it can
be a little bit difficult then when
you're using the endoscope
because you have to work behind the tool
you're using so sometimes it has to sit
but you can see this is really really
dense
outer here here as well so lots and lots
of criss-crossing
so it's all coming away really nicely
it's all getting sucked into the machine
there
you go a little drier section here just
at the base you can tell that by how it
moves when you just touch it
the whole thing tends to sort of move if
it was much softer you get a little
depression in the center
so it's coming away really nicely there
i've got a really good grip here
slowly working this down you can see i'm
using this technique where you kind of
bend it down because what we're doing is
pulling it forwards and just
drawing it underneath the top ledge of
the ear canal there just to get it out
trying to maintain a good grip on here
but we've hit some of the softer looser
bits of debris now so what we're finding
is those are getting sucked into the
machine
which isn't really allowing us to get
that good solid grip we'd need to take
this away
in one block but you can see there's a
lot more further in as well so we're
just going to get a good
see we get a good grip on that slightly
recessed back section
as we lifted we get a glimpse of the
eardrum there as well so we know this is
cause the last pieces that are coming
away
just wiggling a little bit there you can
see it's breaking the looser edge off
this ear wax now
very very slowly coming through
i'm stay tuned for the last one as well
guys because there's a
lovely little bit of skin that comes
away on the last patient you're going to
see as well so stick around for that one
so we just get we've struggled together
with the suction so we're going to use
the jobson horn now we're just going
over the top just drawing this down you
can see the white skin debris behind it
which is holding this back a little bit
lots of tiny little bits of here from
ear hair trims going in there as well
i got to get through this kind of dents
here there there we are
you can see that blockage there go
back through the hair now and there we
are you can see lots of little tiny
hairs in there
as with the last patient as well though
those will wash away with a little bit
of water as well
they're not embedded into anything
they're just sitting in the ear canal so
they'll come out really easily
now this is the same patient but they're
secondary so you can see very different
color looking ear wax much darker so a
little bit older
but it is very very wet and that sheen
there is from olive oil use as well
um you're seeing we're seeing a lot more
patients who've adopted the use of olive
oil
especially during the lock lockdown
where they haven't been able to get
their ears cleaned out very well
and especially here in wales um people
were told to shield to
any health conditions that shielding is
being relaxed now
uh so people are starting to kind of
come away and come out
a little bit more often so they're
coming a lot of people are coming
through now getting their ears cleaned
out they haven't really been able to get
to their gps or anyone else
so which is why we're seeing a lot more
of this kind of slightly older
but very uh sort of wet ear waxes with
where they just the olive oil has been
soaking into them really breaking that
down a bit
you can see here we've got this kind of
block to the base of the back end of the
ear canal there
and we've got this long thin dry section
to the right hand side
so if we worked on that back section
first and trying to draw it forwards
this front section because it's dry
would hold it all in place you can see
it's actually dry skin lifting off the
ear canal wall there
as we lift it up you can see this is the
dry skin it's been holding and there you
go so
holding that back section so we've got
rid of that now
we've got a better chance now getting
this out there's still a little bit of
dry ear wax to the right hand side of the
ear canal wall so we're going to lift that
next
there we go so that's come away now you
can see how it's moved that rear section
of ear wax there it's just kind of pulled it
around
slightly
can be difficult when you lift off the
ear canal because you end up with this wedge
shape at the front of course suction is
not going to hold that very well
so what we do sometimes is fold it over
and go underneath or
like we've done here we go in with a
different tool so we're just going to go
in with the jobson horn
holding on to that ear wax they're just
trying to pull all this forwards
slowly working this out trying to keep
it in one piece
if we can so what you'll see is we've
drawn this down now we can start to see
the back end of the ear wax so we'll try and
drop behind that
there we are as this comes out there you
go you can see all that kind of lighting
material as it passed by the camera
there
that was the sort of dry skin underneath
and there's the eardrum there looking
nice and healthy
so these are the plugs removed so we've
got uh one one centimeter
and or just over a centimeter there so a
half an
inch just roughly i'm not very good at
inches
so half an inch roughly for each one um
this patient this
lovely young lady came through um
she's got we talked about this siller
earlier now this is a classic example
you can see the ear canals not very big
look at those look how dense those tiny
tiny little hairs are
um but we've got this big quite solid
plug bear with this one guys
because you do at the beginning here i
know it's a little bit fuzzy because
we've got the uh we got the seller in
there but it does get a bit clearer
later on
so we've got a good grip on here now
with the with the suction tube
just drawing this forwards
now it feels like quite a solid plug you
can see i'm slowly kind of wiggling it
to get it through the ceiling and get it
out to the ear canal
when you take plugs out of the ear canal
as you bring them out you have to kind
of turn them just
ever so slightly just bend them towards
the usually towards the sort of
uh the back of the head you kind of
bring them around this way to get them
around those obstacles in the ear canal
when you've got quite a hard lump like
these are
um you can't always do that very well
with the suction so you can see how
small the ear canal is because that's the
end of the oval jobson horn there don't
forget there are two different types of
jobs in horn and oval
and a round end this is an oval end
which i use more often than around
so we're just going over the top here
just slowly pressing this down bringing
this
forwards you can see it's holding
together look how hard that is we're
trying to sort of dig
into the ear wax to to get some leverage
behind it more than anything else and
try and draw this force we can see it
just
flipped off the top and came away same
thing again we're trying to get behind
so every time we're pushing this in
we're trying to go over the top and
bring this down
it's coming slowly coming out oh so
close it nearly did
so we're just going to get over the top
again this should be the last go now we
should get it
ah so pull through again right see told
me not to
think too soon look i will get this
through now
there we go now we're starting to see a
bit of movement you can see just how
tough this is every time it flicks off
it brings a bit more
out of the ear canal there we go
there's the plug it's on its way we've
moved quite a bit there so if we can get
behind this next section fingers crosses
will get behind the plug
which is what the jobs known as great
for doing
there we are
we'll just try and pick this up
there we are so that came away nicely
you can see behind that now we've still
got this little bit of soft
uh debris we can see the eardrum just
underneath so this is literally at the
entrance we'll go back to the
zona tube here the standard size ulna
okay we've got a good grip on this
section watch this now as we pull this
away
look at this skin coming away this is
all skin look at that
one big plug of skin see i told you it
was worth waiting for didn't i
so you get this really kind of big plug
of skin that's pulled away there
that's just a little bit of dry skin at
the top there uh
just left in that ear canal but all of
that was kind of
wrapped around the back of that um that
blockage of ear wax there
so really kind of holding that in at the
back but it was quite thick as well so
it's so tough old stuff
um if you do have any questions guys
please drop me into the comment section
below
we are ridiculously busy here at the
moment uh
it is crazy crazy busy so i am trying to
respond to as many comments as i can i
apologize if you've commented and i
haven't responded to it i am trying to
do it
um but we're just it's finding the time
to do i'm sorry guys with all the
editing and everything else we're doing
at the moment
so please bear with me and please don't
stop commenting we do read them i
promise i will try and get through them
all
so you can see we've got this really
hard plug here again
it's dry breathe it's just
pulling out there we go look at that
coming away
one big plug or skin around the outside
edge
you could see the attachment of skin
further in as well
so we've got the same kind of issue we
had on the other side this bit of skin
holding at the back
so we're just going to grab this now
there we are trying to get over the top
pull this down that's mostly ear wax there
on the left side but a little bit of
skin just holding it in there we go
that's gone
so let's take a look behind that
and take a look at that drum there we
are so the eardrum there
lovely and healthy you know that looks
really really good lovely and shiny
uh i was working on a cardiff branch
guys i'm sorry so i didn't take my
rulers with me
uh but you can see that skin plug there
which is the second piece over
uh look how big that skin plug was it
was a fair size and you've got the other
pieces we took away as well there
so yeah some quite big plugs from some
very very small ear canal there as well
okay let's go back to me there we are so
um
yeah lots and lots of different plugs
coming through today you can see how
they vary in consistency and size and
color
so it depends on how old the ear wax is you
know how it's been treated where there's
been olive oil going in there or some
other kind of drop to go in and soften
this up
um well i hope you found that
interesting guys
there was a lot going on in there uh if
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okay guys well have a great weekend it
is friday
here i'm going to enjoy myself spend
some time with the family well and rest
and uh i'll catch up with you guys on
monday as always guys take care of
yourselves
take care of one another and i'll see
you on monday