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
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[Music]
hi everybody this is Rhys barber from
audiology associate I apologise in
advance might lose my voice a little bit
so apologies for the crow Guinness thank
you very much fortunately ear wax removal
video today we have a compilation video
with three patients in today so at first
patient is a lovely straightforward
ear wax removal so come through with a
little bit of a blocked up sensation so
we're just using the standard size on
the tube here just to peel away some of
the the ear wax from the ear canal wall and you
can see that we're managing to keep this
together in a quite a large piece so
just manoeuvring this out to the ear
ear canal give it a bit of the little famous
wiggle there maybe comes and just taking
that piece away you can see that the
eardrum behind looks really healthy
there is a little bit of dry skin at the
entrance it's really optional as to
whether you remove what's left here at
the entrance we can see all the way down
to the eardrum I'm just removing it
because it was just easy to remove so
we'll just take that a little bit away
there but not necessary as far as
hearing and things is concerned you can
see the plug there that came away so
about 3/4 of a centimetre I said very
got a test me and she's 1/3 of an inch
I'm gonna go with a third niche on that
one so this is the second patient in the
compilation you can see the difference
in this ear wax is a lot wetter a little bit
more kind of lumpy and bumpy there as
well so we're gonna stick with us these
zoellner tube for this one as we always do
in our videos we try and pull away from
the ear canal walls first it gives us a
better chance to keep it everything in a
centralised section so you can see just
working our way around the outside edge
with a couple of pieces start a
breakaway there a little bit maybe I
just see lift day you can see a little
bit of dry skin actually to the right
hand side of that as it's lifting from
the ear canal wall there we go just creating
a grip on that bottom section here so
just lifting up a little bit trying to
loosen this away you can see it's
starting to just get a wiggle back and
forth back and forth just to try free it
up front us ear canal walls here it comes
you can see it's moving down the ear canal
now so we're starting to get a good grip
it's trying to find the most appropriate
grip sometimes as you pull outwards you
may find that the ear wax moves in position
so if it does it might open up a much
better place to get a grip on it I think
because of the dry skin that was down
the side of this ear wax as we turned it
there the dry skin is now holding this
in place we're under kind of fight
against that dry skin holding everything
together here we are just working that
down see we switched to position out at
the top of the ear wax where there's a
slightly flatter section which will help
us to get a better grip when we can get
a bit more of an up-down wiggle going on
there we go you see a nice big nice big
chunk of ear wax there I'm trying to
remember I know lots of people asking
can you show the ear wax as it comes out the
oh I'm trying to remember to do it I
don't always do it but if I remember I
will try and show you guys as well so
you can see a same kind of issue now
with this patient second ear so just
getting a grip a nice big chunk of the
tops will get rid of that first of all
yeah I remember that time you see and
then we'll lift the bottom section and
just to try in and stick this bottom
section now we're taking the top piece
of way you can see we've created the gap
so it allows us to kind of maneuver this
a little bit more gives it a bit more
room to rock this ear wax back and forth so
just try to pull this top section now
forwards what I can see when I move the
top section though is the piece of ear wax
actually goes on quite a way down the
ear canal so if I have to get a grip on the
bottom piece of kind of dry ear wax and dry
skin so that's come away nicely I'm just
going to try and get another grip on
that section to move all this forwards
you can see how far back it goes we just
take a sneak look above there we are
seriously we're in a fair way so you can
see quite a long chunk of ear wax there and
there's the ear drum they're a little
bit dull on now so not so much about
light reflex so you can see we've got to
assume to be 2 centimetres and a half an
inch three quarters of an inch half an
inch I'm going to go with on that one so
you can see this
is there okay last patient in the
compilation now very soft ear wax this one
you can see the ear wax is very shiny it's
got a real Sheen to it it's darker in
color than the last couple of you've
seen so older ear wax in here
the reason it's got that Sheen to it
patients been using a bit of olive oil
in here just to soften up it's all of us
who's quite extensively in the UK for
treating some of your ear wax problems and
GPS will actually prescribe it in case
for some patients suffering with you
acts which is why we refer to it a lot
in the videos so what you can see it the
olive oil applications made this ear wax
really soft and kind of sticky and tacky
so we're just microsuctioning this away I'm
trying to uncover the ear canal wall here to
the left side first so you can see I'm
pulling everything across to the
right-hand side just to just to unstick
it and then we're gonna go back over to
another edge then to try and lift again
so you can see it's just starting to
come away a little bit more now at the
base and now we're gonna work to the
right side pulling across to the left
just trying to unstick this with this
kind of more sticky and softer type of
ear wax it tends to be a little bit harder
to remove
especially with microsuction as well because
it tends to block the end of the microsuction
whether a patient came through I think
yesterday actually which I think we're
gonna to the video in a couple of weeks
time we actually went through five
separate tubes to try and clear this
lady's ear but just because they kept
blocking up so much it wasn't
appropriate to use any other tool so you
may see that one coming through in a
couple of weeks time so what we've
managed to do now is just unstick a lot
of this ear wax from the ear canal wall we've
got kind of a more robust slightly
harder section here in the centre so
we're working on that with the microsuction
now just to give us a bit of
manoeuvrability as far as the ear wax is
concerned just trying that trying to
work that out of the ear canal but you can
see it's just sticking on all ear canal
walls there at the moment so there we go
just starting to move
somebody posted him on the read all you
guys comment so please keep the comments
coming I don't have time to replace them
all I'm really sorry but somebody asked
me if I got a particular favourite type
of ear wax remove the kind of that kind
of softer audio so but hard scented ear wax
is always a nice one to take away
because you can get a really good grips
it's softer but it stays together really
nicely they tend to come out a lot
easier the hardest ones to remove
probably this softer type of ear wax is it's
kind of middle of the range it can be a
bit awkward sometimes you can be quite
lucky with it I think it's the skin the
skin ones I always find the most
difficult to do just because you can get
some really difficult skin issues and
they tend to come coincide with much
narrower ear canals as well so they tend
to be a little bit more problematic to
remove a lot of the time but we're
getting some good traction to this now
we are wiggling our little socks off on
this one to get this one out so you can
see it's all coming away really nicely
I've got a harder section here which I'm
working on just to pull away there you
go you will find sometimes you'll get
these kind of hard skin kind of ribbons
in the middle of this this ear wax which I
would like to give it a bit of structure
I didn't notice but this little black
spot on the screen it's been the whole
way through so I think it must have a
little dot on the end of the endoscope
there so just lifting the base you start
to see a channel down the right-hand
side of this block of ear wax now towards
the eardrum so we're making some headway
we're not completely blocking this up
yet
it's just manoeuvring this out very
slowly there you go it's coming away
okay no we can start to see the I can
see the eardrum there at the base of the
ear canal so we've got the majority of this
ear wax out there's a little bit here to the
left-hand side as I said in I think was
the first video it's not really
necessary to remove it because it's not
causing any problems in there urea
should have some ear wax in there I'm just
gonna take a bit of it away use this
little flap of dry skin as well the
bottom there that will come away of his
own accord
so sticky that ear wax is like you really
gotta kind of pull it to get it off the
ear canal wall there there we go let's take
a look at our eardrum so you can see the
eardrum looks good there's a nice light
reflex there so these are the two pieces
of ear wax that came with us without what
got sucked into the machinery of the air
so just over an inch all together you
very much fortunate video today if you
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until the next time take care