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 video today so this gentleman's come through he's a regular
client of ours he suffers with repeated ear infections and what normally happens
is when we when he treats the ear infection with antibiotics
he gets left them with a debris a thin film that sits all the way over the
ear canal and over the eardrum which then reduces the hearing so hearing is normal
the rest of the time obviously with the infection there's a lot of aggravation
or swelling in there or debris being produced which then causes problems as
far as general day-to-day hearing when that gets cleared up then this film sits
all over the ear drum all over the ear canal which then also keeps the hearing
reduced so what we're doing at the start here is just clearing the entrance to
the ear canal so taking away any softer ear wax debris basically around the outside edge
what you'll see in a second when we get a little bit deeper it gets a bit easier
to see as well is that there is this film which is a mixture of the
antibiotic drop that's gone in drying on the ear canal also any discharge from the
infection that's been left over any ear wax that was in there all gets liquefied
together and then solidifies on that on the ear canal wall so very thin hard plates
and films in here so to remove this what we're going to do is use the standard
stays on a tube here and just lift at the edges of the ear canal so you can see
this film that I was talking about now just lifting away from this left hand
side ear canal wall here now what we're going to do with this to peel this away
you need to just slowly work your way down the ear canal lift it off the ear canal as
you go now the difficulty with this patient is because this covers all of
the ear canal walls as we're lifting you can see it's all pulling together into a
large central section now obviously we need to lift and peel from the ear canal
also when we get this large central bit here now we can't wiggle left right up
or down because we're not going to pull any more off the ear canal walls so we work
down as far as we can and then we have to go in with the crocodile forceps then
so this is what you can see just coming at a shot now as the crocodile fought up
through a little bit to here now I'm not looking to peel the whole thing away
because we haven't taken enough off the ear canal walls with this what I'm looking
to do is take away the excess I've already peeled off so that allows me the
end to work my way much deeper in the ear canal and peel the remainder off the
ear canal walls in the ear drum as you can see we're just taking the central bits
away and you loose a bits around the outside edge as this pit is here so you
can see that's all we're doing is just peeling around the outside which will
then allow me to go back in with the as on the tube to start lifting off the
ear canal wall edges again so we've taken away that central section and you'll see
what I mean now so as we go in now we can start lifting look from the edge
again and pulling up into the center to take the next section way it's difficult
when the when you start peeling like this at this bottom section here because
you need to aim at the bottom of it to lift it from the ear canal wall to get an
effective peel that are breaking away but what you'll notice is when you go in
with a suction I'm trying to aim for the bottom of this but see it pulls that
flap down into the suction so what you get then is it's really difficult to get
to the section you need so sometimes it's easier to take that top section
away with the crocodile forceps and then get into where you need to be you can
see this is just starting to break now look along the outside edge and just
trying to lift lift and peel you can see we can't really go too far now into
either side so we're just taking this section from the top down peeling this
away there you go so I'll just start to peel away a little
bit more now now again a little bit closer to the ear drum so
just going to very gently start peeling away from the top here now the top and
left-hand side is actually just starting to connect to the drum itself but the
right-hand side is still connected to the ear canal wall much further towards the
camera tour away from the drum so just see we're just starting a little bit of
a peel there to the top section so we're just going to go in there with the
crocodile forceps again and like I said just remove that outer piece Theory are
so just taking that away so it doesn't keep flicking up in front of the section
as we go in then to take away a few more bits there you go so we've taken a lot
of that top section away now it gives us much better bit of this film to work on
you can see it's quite firmly attached in there just peeling some of the left
out I saw it towards the right hand side from right to left now taking down the
ear canal this right-hand side here we are just peeling that now working our way
down you can see it's just starting to peel away at the top working on the
bottom tray and lift that up and working across opposite sides at the moment
because obviously the more I can peel away and the more I can get down towards
you know try and get it all to keep together if we can peel all the sides
away it means we've got a better chance of the whole thing peeling off in one
piece so obviously the last thing we want to do is leave lots of little tiny
bits on here because there going to be a lot more difficult to remove and a lot
more uncomfortable for the patient as well so you can see it's all still quite
firmly attached we've got a couple of leading edges there to work on now
so crocodile forceps are going to go back in just looking at pinching this
bottom section there you can see how difficult to this because the nose of
the crocodile forceps is actually quite wide so to try and get into these little
gaps and hold on to these thin sections can prove quite difficult sometimes
you can see we've got another leading edge there now so just working that
peeling down you can see it all start the peel away now
always with the forceps and this kind of thing it's always gentle steady pressure
so a nice smooth continuous movement pulling down and out of the ear canal
because if you make jerky movements with this kind of this kind of film in here
then it's just gonna start breaking bits off or you're gonna put a lot of tugging
action on to the actual eardrum itself which you don't want to do you want to
gently peel away from it yeah you can see it starting to come away you can see
the film lifting look as we're pulling this top section you can see it's
bringing the next section forwards allowing us to get underneath now above
and below there you go so we can get a much firmer grip on this section now
there slowly and see it starts peeling away in longer strips then when you can
do this slow movement so what we have now is some dry ear wax to the right side
and also in the base of the ear canal as its as its getting a little bit closer to
the eardrum I can't quite get the angle to do an effective peel on the right
side so I'm going to lift up from the bottom because I think this is one
continuous piece so you'll be surprised just to see just how much is actually
hidden out of sight of the camera and we talked a lot about this valley that's
just in front of the eardrum and this will give you some idea of how much can
actually accumulate in that valley and how deep it is so we've taken in one
section away now yes we're gonna work on the next section so you can just see
that flicking up to the front there then see it's a long edge can't quite get the
grip I need using the finer end because obviously it's a much smaller aperture
on a fine ends are very difficult to get an effective grip so we're going to use
the crocodile for setup style just to grab that piece trying to get hold of
that very thin leading edge they've got a grip on it and just pulling it's just
broken away so just gonna go back in get another grip
there we go there Kimsey so that was tucked in that little Valley so you can
see just how much was there there's actually more still in there so if we go
back in there with the forceps and see if we can grab that try not to go too
deep obviously so we don't touch that eardrum you can see it's a delicate
procedure trying to grab the bits we need but not touch the drum behind it
they fold it and got a good grip now you can see just how much is pulling away
can you see all that coming away there you asked we have peel the bottom and to
the right and out it all comes in one piece when we take that back in there
there we are there's the eardrum and now obviously
there's a lot of bits of dry skin in here but don't forget this gentleman is
prone to ear infection so I wouldn't go diggin against the skin in there I don't
to encourage another infection and that's what we removed
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