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 associates thank you very much
watching out you action will vote video
today a short but interesting video for
you today this patients come through
with a very blocked up ear canal here
you can see we've got some very dry
ear wax there's a lovely Sheen to the
outside of it which is I think I mean
it's a little bit softer it's quite
solid but as you can see when we get the
micro suction tube on here
it's really quite solid around the
outside edge here so a really hard bit
of ear wax I'm just trying to look for any
grip I can get on the outside of this
using the suction tube but as you can
see we're struggling a little bit so
we're going to opt to go in with the
Jobson horn now and just aiming above
that little lip at the top of the ear wax
there into the groove and we're gonna
pull down now what you'll see with this
ear wax is as we push forward see it
crumbling forward so it's got a a really
hard outer section but a really crumbly
inner section which means it's difficult
to get a really good grip on it with the
Jobson hole normally what you do if
you've got a hard piece of ear wax you push
into the ear wax and use that the ear wax is
structure to pull it out but when it's
crumbly in the middle as you pull this
through look at solid as it folds the
central ear wax in and leaves that hard a
section around the outside edge I'm just
trying to get a good grip now we start
seeing a little bit of movement there so
I'm going to go further in wiggling can
you see the shell around the outside
edge there as you lift it up and down
just trying to get behind that now there
we go so out it pops a little bit of dry
skin at the rear end there but I've been
looking can you see all of this like
thin very delicate almost like spider
webby skin in here now you've got a flap
that's fallen down form the top section
here so this is the fine end we're using
at the moment otherwise it's gonna
whistle quite a bit so you can see as
we're peeling down the ear canal see it
pulling away from the ear canal walls on all
sides now the section we were just
working on was the one that's being
embedded into the back of that ear wax but
look at this section in front of the
eardrum as we get a grip on it see the
whole thing moves so it's one thin very
very thin layer that's sitting just in
front of the eardrum has
got little bits attached to the rear end
actually backing on to the drum itself
as well but can you see how it puckers
up and it folds into the section so
we're just trying to get rid of this top
section here if we can because I think
this is gonna feed into that back
section there it's just pulling away
you're just coming away there I don't
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now we're just folding all this into the
suction tube - you get a nice big piece
away there but you can see we still got
this
chunk to the top right hand corner the
section at the bottom they was just
flicking up in front of the ear drum see
how dry all this skin is so this is
really dry skin this doesn't hurt the
patient me sort of suctioning on the
skin itself because the skin is is dead
skin so you won't feel it what you'll
feel is the actual peeling motion but
what we're gonna do in a second when
it's really dry like this you can see
it's really kind of pulling on the skin
if we introduce just a little bit of
olive oil in here it's gonna soften this
up no end so I'm just trying to peel as
much as I can so when we put the olive
oil in now watch the difference in how
this skin comes away as we get a grow
you can see the oil is a little loose
here so as we get a grip there can you
see all getting pulled in but see how
much more easily this comes away now
it's just moisturize just a little bit
this is gonna make it a lot more
comfortable for the patient to have
removed as its peeling away olive oils
just blurred the camera just slightly
this we're just gonna go clean the
camera off and then go back in so this
is just an overproduction of skin from
the ear canal walls just almost okay if you
imagine having not so much a skin tag
but like a pull of skin that carries on
growing like if you had one on the side
you nail that kind of thing that's the
sort of thing we're talking about here
but you can see how thin as we're
pulling this away now that Finance got a
really good
now look at it peel down the ear canal wall
as it's coming away keep an eye on the
kunai we'll see or peeling away look at
it all coming towards the camera they've
got the whole thing now is peeling away
really really well and then when we go
back in there's the eardrum so all that
thin spindly spidery type skins
disappeared now so this is what we move
that the hard chunk with a crumbly bit
is to the right hand side that long pull
the last one we pulled out is the bit on
the left-hand side there purely take the
stuff as always guys take care thank you
very much for watching our video today
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care