hi everybody my name is Rhys Barber I'm the audiologist here at audiology
associates thank you very much watching our video today if you've never come
across one of our videos before or if you haven't looked at the channel before
what we do here is post ear wax removal videos we post new ones every Tuesday
and every Friday so if you have any questions about the video that you go to
watch then pop them into the comment section below and that way then the most
popular questions we can answer at the end of the week so enjoy the video and I
shall see you at the end hi everybody this is Rhys Barber from audiology
associates thank you very much watching our video today so this is an ear wax
removal video compilation so we've had two patients come through with ear wax
problems on this video this first patients experienced some
reduced hearing a little bit of discomfort in their ear as well so we're
using the standard size zoellner tube here just to loosen up the edges of this ear wax
first of all just see it is pulling a lot of this ear wax into the center so you
can see it's quite hardened up just opened a little gap at the top there so
we can see just over the top of the ear wax if you haven't
subscribed to our channel already on YouTube then by all means click on it
if you want to you can just see loosening the right section here pulling
it away from the ear canal wall it's staying together and quite a large lump
breaking little bits of debris away here we are now it's starting to loosen we
can start to see the ear drum now as we look above this ear wax through a little gap
you can see how the ear wax has dried you see lots of different colors of ear wax in
here much lighter sections the darker older section there in the center
as well
there you are you can just see the edge on through the gap there so you opened a
large enough gap up now we can see there's nothing behind this ear wax so
we're just going to gently bring this forwards and out now with the Jobson
horn you see that darker little nugget of ear wax there you go it's all staying
together really nicely
just maneuvering this out of the ear canal now what I can see when I look
past this so you can see some little lumps on the ear canal wall
that's swimmers ear so I'll point those out to you in a second but this
gentleman's got the history of cold water exposures did a lot of swimming when he was
younger so we're just tidying up in this ear canal now maybe yeah now there we go
you can see those lumps that it will pop some arrows on this you can see them a
bit better there we go so that's actually bony growths into the ear canal itself so there
is a gap in in there at the moment allowing the sound through but if that gap had
closed up then the patient may need to look at getting that a surgical option
as far as opening that out which would involve kind of scraping away that bone
to open the ear canal out again it's kind of a last resort for swimmers ear as long
as it's not causing too much difficulty as that's patients wasn't been allowing
the sound through they would probably just leave it and monitor it instead so
this is the same patient the second ear now so we can see we've got some dry ear wax
on this side as well so just maneuvering this out of the ear canal still using the
standard size zoellner tube here part of this ear wax almost looks like a little bit
of dry skin we can see to the right side there you can see they're kind of flaky
dry skin
just waiting just a little bit too big to fit out of the ear canal so well go in
with the jobson horn just get this last last couple of centimeters out
there we go so that's now out couldn't pick it up with a jobson sojust
going to grab it with the suction tube there you can see interestingly a little
bit of thickening to the skin at the bottom of the eardrum there not too much
and as far as the bony growths there on that side little tiny lump at the top of
the ear canal so this is what we removed can see quite dry ear wax there in cms and Inches
so a second patient now this gentleman's come through that much
softer ear wax on on this patient so not too much in the way of any discomfort
mostly just reduced hearing which is the reason that majority people come through
and so you've got that kind of Sheen to the ear wax so we're going to go straight in
with the jobson horn you can see it just getting a little bit of purchase on
it and just pulling there you go when you can't see too well in the ear canal when
it's really blocked up like this I dont like going in too deep with the Jobson
horn I prefer just to kind of break down a little bit of the ear wax first just to go
a bit of a grip on it obviously we've got no idea when you
can't see past that ear wax what you're pushing into as you saw the last
gentleman you've got this bony outgrowths there you may be assuming
that ear canal is quite open all the way down to the eardrum so you're going
over the top would be wouldn't really causing you discomfort but you can never
tell you know you don't know what you're gonna see behind this ear wax so I always
prefer to go in just very gently and take the front edge off first before we
go in any further
you can see were just concentrating on the outer section of ear wax here strange
consistency this ear wax you've got kind of softer pieces there also you've got
quite stretchy sticky pieces of ear wax in here as well so lots of different
consistencies as we're pulling this forward you can see it's actually
stretching the ear wax out of the ear canal rather than rather than kind of guiding
it out sometimes with harder ear wax when you get a grip you hit another soft
section now so difficult to get to get a really good grip and some purchase there
we are you can see how that ear wax has stretched out there as well quite a long
piece can't seem to get a grip on it with the Jobson horn to pick it up there
we go she was even with dry section the back
and stretchy section in the front and there we are
there's the ear drum itself looking nice and healthy so they see the same patient
but the next ear you can see we've got a couple of hair clippings in here
ear canal is pretty blocked up so we're just going to use the standard size zoellner
tube on this one a little bit of ear wax on the hairs on the older part of the
ear canal itself
so were going to get a grip on a little bit of dry skin they so I'm going to try and
get rid of that first because sometimes it can flick up in front of the suction
so you don't get a really good grip on the actual ear wax itself you're just
gripping the the skin since you've got that hair filled lump there now just
get a good grip on it so just manoeuvring wiggling up and down just to try and
break some of these pieces away get to the next section then behind it you can
see it's quite a large large piece of ear wax this one in relation to the ear canal
size there we are just trying to maneuver the ear wax to get a better grip on its you know
you've got quite an angular piece there so we're just trying to lift the ear wax to
get to the smoother section underneath
got it to the outer part of the ear canal we're just going to use the Jobson horn
Oh to get out the rest of the way there
we go
trying to pick that up now with the jobson horn
doesn't want to come out so use the suction to just to pick it up it is and
just need to go in and get the remainder out so what we broke away there was the
front section you can see how dry this ear wax is so as we're getting a grip on it
it's pulling away in into the more brittle chunks rather than one
continuous piece so we've got a good grip now you're looking for the flatter
piece of ear wax to get a better grip with the suction not quite managing as those hairs
just stopping the grip and see that it's connected to the piece behind it by
a very thin section of ear wax here so just pulling all this down the ear canal there
we are it's on its way
so you can see as we've lift this up that it was very loosely held together
by one thin strip of ear wax and there's the eardrum all looking shiny and healthy so
this is what we removed you can see the first section of ear wax there is what we
remove from the first ear the remainder are then is removed from the second
thank you very much for watching our video today if you did enjoy the video then
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always guys until the next time take care