hi everybody this is Rhys Barber from
audiology associates thank you very much
watching our video today we have another
ear wax extraction video for you so this
gentleman attended because you've been
having reduced hearing for quite some
time using a little bit of olive oil
destroying soften his ear wax so we're gonna
use some micro suction to start with
just to remove those softer pieces of
ear wax you see a little bit there on the
outside edge I'm just gonna go in and
pull the rubbing install a little soft
pieces but the standard says on the two
bond years you can see there's not a
tremendous amount of room in this ear
ear canal he's a little bit more difficult
to to remove the ear wax as I'm starting to
clear away some of the softer pieces
here what I can see is there's lots of
little tiny bits of hair embedded in
this in this ear wax which does make it a
lot more difficult to remove for two
different reasons when you're using
micro suction you are trying to aim for
a really good grip on the ear wax using the
suction to hold onto it so we can take
the ear wax out but when you have these
here's all littering the surface of the
ear wax and embed it through it it means you
can't get quite a good a good enough
suction to hold onto the ear wax properly
because the the ears stop you getting
that good suction grip and the other
thing that he is do as it binds the ear wax
together so normally break little pieces
away and take that away but what you
have here is that right here just
binding it all and holding all together
makes it a lot more difficult to remove
coupled with the size of the ear ear canal
as well it's not the easiest extractions
to do so just clearing some of the old
skin off the ear canal wall there sometimes
we're lucky and as we pull the skin it
will pull the ear wax down with it but
unfortunately not in this case it's a
lot of movement to this piece of ear wax so
we know it's one solid piece you can see
all those tiny hairs there I'm trying to
just maneuver this ear wax a bit further
down the ear canal so I could possibly use
their jobs and horn then to go in and
try and break it up a little bit smaller
pieces we stand a better chance of so
safely but as you can see that's all in
getting a grip on all these little tiny
hairs
this gentleman's back Remy works in a
hairdressing salon so lots of little
fine bits of here in the arizona lots of
hair cuts being done quite frustrating
so we're trying to get a a grip on this
this ear wax but that here is just not a
little nice to do it so we're gonna go
in with the Jobson horn it is quite deep
so I'm just gonna touch on the outside
part of the ear ear canal just trying to
break some of this you can see that here
is coming away with it now really trying
to get in to break some of this down but
you can see it's really deep in that
ear canal now this is really sensitive part
of the ear ear canal and I can't go over the
top of it because it's too close to the
ear drum and pressing on the front of it
is actually pushing it further in so
it's gonna be quite uncomfortable if we
carry on like that for the patient so
I've gone back to the suction now you
want us to break some of that here aways
just to see if we can get a better
section grip you can see just trying to
pull the edges to lift this block of ear wax
from deeper in the ear canal
really struggling with those there those
hairs
got the crocodile forceps in there just
to see if we can get a grip on some of
these here sometimes if you hold on to
them and pull it they can be quite
firmly embedded in the ear wax so they'll
pull the ear wax down with it unfortunately
not in this case though so as we're
getting a grip on these little tiny
hairs just not pulling it all out so put
some olive oil in the you ear canal now just
to try and help us get a better suction
grip doesn't always work when you have
okay here you block of ear wax like this
so I'm just trying to lift the ear wax now
so sometimes if you lift from the bottom
up it can just free up there you go and
you'll just see it starting to lift over
this little lump in the ear ear canal yeah
so we're just starting to get a grip
if you suction closer to the rear of
this lump of ear wax there you do tend to
get better suction grips because it
tends to be a smaller surface that's
been sat next to the ear ear canal there's a
really trained dirt unwedge this piece
of ear wax a bit of a wiggle up and down
just to try and work it through that
slight narrowing of the ear ear canal there
but it's firmly wedged in so we're gonna
use the crocodile forceps going above
and below just to see if we can get a
better grip on this little bit of olive
oil just just blue in the edge of the
camera there but it comes and
frustratingly you get so far and then
the hairs break away I do show you what
comes out of the year at the end here we
are I hope that block comes take a look
the eardrum that's what we removed you
can see all the hairs jutting out of the
side of this and the little bits that
got sucked away your instruction as well
there for you so yeah all right nice and
they're nice neatly if you do like
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