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 this
first patients come through with a very
blocked up here you can see very very
dry ear wax here so we're just using the
standard size zoellner tube to loosen this
up and and to get this out you can see
it's quite firmly stuck to that right
hand ear canal wall just starting to loosen
off the ear canal here this is quite large
segmented chunks so it's quite dry
hardened up ear wax so we're gonna remove
this section first just see it coming
away there that allows us then to get to
the section behind you can see it's a
little bit bigger this one just aiming
for any part of the ear wax here that we can
get a good grip on the difficulty when
you have dry ear wax like this is because
sometimes it's as you could push into it
to try and get a grip on it it pushes
the ear wax deeper and it moves the ear wax so
just introduce a little bit of olive oil
which is gonna help me get a good grip
on the ear wax itself and will also help the
ear wax to slide down the ear canal so it's more
likely to slide towards the suction
there we are so just that little bit of
introduction of olive oil and literally
pop it in and we've straight back in
with the suction so you can see the
difference it makes so we've got it to
the outer section of the ear canal here
having a little bit of difficulty
maneuvering this out of the ear canal so
we're going to go in with the Jobson
horn now literally just inside the ear canal
here we got to roll this forwards that's
broken the front section aways get
behind it now and slowly pull that
section away we'll just slow this down a
bit so you can actually see this coming
out
we had to pick it up with a suction tube
down just so we could get a good enough
grip on there to get out of the bowl of
the ear canal and there we are there's the
if I'm looking lovely and healthy ear canal
nice and clear now on that side so this
is what we removed you can see the the
different sizes of chunks there that
came away from that one ear canal or
lots of very very small dry pieces but
when you put them all together it forms
quite quite a long quite a long section
there so this is the second patient of
compilation you can see we're very
blocked up by a ear canal here looks like
there's a little bit of maybe a little
bit of dry skin there to the right-hand
side ear canal wall use a little bit of
suction in here is this is the standard
size zoellner tube again just going in
here to lift this from there you can see
it's pulling up these these bits of dry
skin at the base of the ear canal here first
of all it forms like a little layer
underneath the ear wax but it can get inside
the block of ear wax as well so the
right so the forms are round or skin
layers unfortunately then that's what
anchors everything in place so you get
these larger larger blocks then coming
away well thanks for everyone who had a
go at these sort of little mini quiz
thing we did in the last video upload
have you got it right actually I there
was a lot of really even if he didn't
get it right the answers were very very
good answers so the white around the
outside of the eardrum was some tympanosclerosis
cwhich is basically just
meaning a thickening of the skin which
forms this whiter patch happens with
age and the ear wax come away happens with
age and sometimes when you get a little
bit of difficult infection or damage to
the skin of the drum and the hammer bone
was more pronounced because as lots of
you rightly guessed the middle ear
pressure was slightly reduced to it
pulled the eardrum into the space behind
so it makes that hammer bone more
pronounced oh well then you guys you've
learned a lot over the last last couple
years so you can see with just taking
these little tiny pieces away just
taking a long skin ribbon out there as
well so all coming away really nicely
trying to get a good grip on this top
section here you can see it's starting
to break down we've got these bigger
pieces now we're getting these smaller
pieces crumbling into the suction there
we go
much larger piece they're coming away
and we've we've sort of altered how we
did we've sort of slowed bits of this
video down to make it easier for you to
see what's coming away it's always a
good opportunity when we make a change
to get some feedback from from you guys
is there anything you'd like us to
change about how we do the videos or is
there any suggestions you can give us
obviously you know we can't because
we're going to show all the ear wax from
walls and stuff we can't really show
surgeries because we don't do that kind
of thing but are you happy with how this
is looking do you want us to make any
changes give us some feedback in the
comment section below that would be
great so it's nice to touch base with
you guys every so often just to make
sure we're doing things as you want to
see them so you can see lots coming away
now just go into this deeper section so
quite a bit in this here you can see
just how much of this was coming away
here there's quite a lot going all the
way down the ear canal loop of skin here
that's just coming away there we go and
then behind that you can see we're still
going I would get them very close to the
eardrum now so we change our technique
slightly which we try and stay away from
the ear wax and pull it towards us there you
go doesn't put any pressure on the drum
then you see and we'll go in take a look
and there you go there's the eardrum and
this is what we removed so as with the
last one you can see lots of segmented
pieces but when you put it all together
there was quite a bit in there
thank you very much for watching our
video today if you did enjoy the video
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time take care