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
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[Music]
hi everybody this is Rhys barber from
audiology associates thank you very much
watching at you action will haul video
today just one patient in this earwax
removal both both ears to be done to
give you a bit of backstory to this
patient they've had earwax problems for a
little while lots of very reduced
hearing very uncomfortable in the year
they've actually been to several
different practitioners had I think
three attempts at irrigation on this and
really really just fed up and very
despondent but there's only got to us so
they've come across to us to see if we
can remove this for them so what we can
see is we've got some very very hard earwax
that microsuction tube is just literally
scraping across the front of it so not
really breaking it down it's almost
perfectly formed to the shape of the
ear canal which is going to make it a little
bit more problematic to get out and you
can see lots of little hairs in there
dry very very dry earwax binding all of
this together so what I'm going to do
first is just do a little bit of probing
around the outside edge we need to make
this block a lot smaller if we got any
chance of getting this out so using the
Jobson horn oh just because it is so
tough we're not going to be able to
microsuction this just as a break down the
front end of this earwax and maybe try and
break some of the sides down as well
just to give us a good chance of being
able to gather all this out so you can
see those little hairs there binding
everything together just trying to take
some of the looser pieces away first
it's it's quite tough to get rid of some
of these bits so using the crocodile
forceps now because it's quite a hard
piece of earwax just to remove some of the
easier pieces from the outside section
there looking at doing up just touching
on the base you can see we've got one
big plate of earwax there that's moving
quite freely so trying to get a grip not
quite enough space though between the
earwax itself and the ear canal walls so I'm
just trying to open a certain see if we
can get
I don't know a little bit at the bottom
here try if I think if I can get I
either side of this piece of earwax because
there's a bit of movement there we may
be able to get it out what you can see
though is because of the thickness to
the the end of the the crocodile forceps
there as we're trying to get down either
side of it we can't quite get the gap we
need so it's actually pushing the earwax
deeper in there's a small gap at the top
so I'm going to aim for the using the
same box for st. Bart's hook even so in
here just to roll this piece of earwax
forward and then I'm just gonna try and
get a grip inside the earwax normally what
we do with the st. Bart's work is get
behind turn and bring it forwards but
because when I'm trying to bring it
forward it's not really giving me enough
gap to get behind it what I've done is
used the same box hook just to pop into
the earwax to try and drag it forwards out
of the ear canal you can see a piece broke
off that was it pull through the centre
so we're just using the Jobson horn a
second just to take some of these pieces
away there you go lots of interchanging
of tools for this one now we're starting
to get a bit of movement to this larger
huh there we go so you can see I just
popped out of the ear canal there when we
take a look behind it the eardrum itself
looks a little bit dull this looks at
the skin itself looks quite Ripley so it
looks quite loose on on the drum itself
so this is the second year now so we can
see you've got quite a large a large
piece of dry that ear wax you can see the
same thing the zoellner tube is just
scraping along the the entrance so we're
gonna go in with the Jobson horn now I'd
have put quite a lot of pressure to get
into this ear wax it's quite thick and
hardened up you can see this entrance
here that the ear wax at the very front has
got a sheen to it so there's been some
olive oil going in there just softening
the front end but as soon as you take
that piece away everything behind it is
solid and matted with here so that's
what's bound it and dried it all out in
here
just get rid of some of the looser
pieces there with the microsuction tube
sometimes as a repelling it out little
bits will break off and drop into the
bowl of the year so we just use the
microsuction tube just to pick those up cuz
it's hard sometimes to pick her up with
the Jobson horn so I'm trying as we
normally do to try and loosen the edges
but as you can see this block of ear wax is
really firmly formed to the shape of the
ear canal so not much in the way of a gap
here so I'm just kind of showing push
into it with the same st barts hook just to
loosen it slightly and see if we can
bring the whole chunk forwards which may
then create this little gap but as you
can see as we're trying to push into
this and trying to get behind it with a
book with a hook it's just not really
allowing us through there's not enough
of a gap so back in there with the
Jobson horn I'm tilting it sideways
because I want to try and lift it off
the ear canal Walter well to the the right
hand side ear canal warm and then see if we
can loosen it because I can see the top
is loose but it's still quite firmly
attached to this right ear canal wall trying
to get into it I'm struggling to get
over the top of the ear wax and I'm
struggling to get the Jobson horn into
the ear wax as well so we're in this kind of
it's kind of impossible we can't really
we can't use one technique and the other
one's not really working out so well for
us but we're just trying to get any kind
of ledge that we can get a grip on now
we're starting to see some movement
there you go you see you've managed to
get a Ledge and a bit of purchase to
that ear wax and it starts to pull forwards
I can start to see the air dry now
behind patience thoroughly please
because they can start hearing better
there you go
lots of Dre pieces there's the eardrum
okay so we can see the drum now we've
still got a lot you can see how firmly
stuck this right side was because even
when we took the centre section at that
right side stayed attached to the ear canal
wall so we're really just trying to bend
flex this ear wax it's so dried out back in
with the Jobson horn again now here we
go so I'm just taking the bottom section
away there tip those pieces out with a
microsuction tube and you can see there's a
little bit of sort of dry drier dead
skin left underneath this because this
has been in here for a long time there's
a piece of dry skin further back so
we're just going to use the Jobson horn
just to try and pull this section there
we go
this section of dry skin away so it does
look like there's a little piece a bit
further in there we are to the bottom of
the screen there so we'll just go and
grab that with the with a fine end and
peel that away so starting at the back
trying to peel sideways and forwards
there we go lovely that's come away and
let's take a look and there we are those
ear drum this is probably one of the
toughest ones I've done you can see just
how much was in there so we got we're up
to 12 centimetres of ear wax and her patient
was really pleased to be able to hear
again five inches yeah so a fair amount
in both sides they don't forget to like
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