hi everybody this is Rhys barber from
audiology associates thank you very much
for watching our video today we have a
new earear wax extraction video for you now this is
some very dry hardened ear ear wax that's
formed a large lump in ear canal
so not the easiest to remove so the
first thing we're gonna do is gonna put
a little bit of olive oil in here just
to soften the edges of this ear wax
hopefully trying allow it to slide out
of the ear canal it better she's got a
standard size on the tubing here just
taking away some of the looser smaller
bits of ear wax that are around the outside
edge sometimes if you can just take
these pieces away you can just form
enough of a gap around the ear canal wall
that you can then maneuver the ear wax out a
little bit more effectively but this is
quite a large hardened up lamps being
here for quite some time
you're just working on this piece here
on the left hand side you're going to
pull that out of the corner of the ear wax
there you go just maneuvering it out you
can see it's quite a hard dried plate of
ear wax that one
just looking for any movement to this
chunk at all it is in there quite solid
not opted to go for the jobs in horn
just yet because there's not a
tremendous amount of gap around this is
still trying to open this out before I
go on with the Jobson yeah yeah so now
we just going over the top train
maneuver this ear wax out sometimes yeah it
can be quite lucky and get a grip on the
outside edge there it'll all pull itself
out then from there but it looks like
this is just going to crumble away see
that piece of ear wax they just obscuring
the view a little bit so I'm going to
take that by the way next sometimes we
don't produce as much oil in our ear
ear canals as as we did when you were
younger so the ear wax can sometimes dry
like this you can see just how tough
this is putting a lot of pressure on the
on the ear wax together you can see just how
hard that strip of ear wax is in there just
trying to break this section away
a lot more still in here because it's so
tough it's difficult to get the jobs and
horn into the ear wax itself to break it
apart so you just have to keep chipping
away at the other side edges sometimes
if you've got enough of a gap you can go
over the top and get behind it but at
the moment there's not really enough gap
there you can see just how thick and
sticky this ear wax is so just trying to
maneuver any pieces over that we can a
few people have asked me what the
patient experiences that does this hurt
and you know is there any discomfort
patients normally report at this point a
feeling of pressure obviously you're
pushing down with the Jobson horn you
can sometimes go and mild scraping
sensation as it's or scratching
sensation is probably a better way
describing it just as the ear wax or the
jobs and all moves along the you can
also see this is quite angular these
bits so it is going to touch on the
ear canal wall as we pull it out okay so we
can start to see how there's a hole
punched in the centre of this ear wax so we
can see part of the eardrum now so ear waxes
all around the outside edge of the ear canal
so we can just lost the camera there
just for a second I've got that piece
out so we can go in and we can start to
grab these little pieces just try them
and over them down the ear canal
I'm gonna go with mother section now
just to train a little sin the ear wax off
the top portion of the you know there's
obvious it's very difficult to use the
jobs and horn on that on the top of the
ear canal let's see it's all staying
together in in a large piece around the
outside edge I'm just a loose in all the
edges from the ear canal wall before we try
to remove this he's holding on quite
tightly even with a good suction grip
it's just breaking its breaking the
suction connection me out there so
crocodile forceps coming out yes we're
lucky we might get a big chunk of it
coming at the same time it's just broken
away so using the it's on the tube then
to reposition the ear wax between loosen it
a little bit more sometimes we have to
use various tools to aid each other so
in this case that the Zollner tube is is
maneuvering the ear wax into a position
where I can go in there with the
crocodile forceps and hopefully doing a
better grip on it at the end of the
quarter force has been quite blunt it's
difficult to sort of peel ear wax away from
ear canal walls it would be quite
uncomfortable for the patient's you bet
refusing there's on the tube coming over
it and then the suction tube to remove
it
sorry crocodile forceps to a little bit
we also got a grip on this now just
using a steady even pressure to try and
keep it in one piece if we can it's not
always easy because it does it's so dry
kick and it can shear off it's hard to
get a really good grip because you can
see that just with the end of the the
cord all for saps is just touching the
wife she's pushing it back in as you try
to go in further to get a deeper grip on
that a little bit trouble so nice but
it is quite frustrating to do an to
watch just trying to raise it so we can
get underneath it and get a really good
grip it's broken away again I don't want
to put the jobs in Hornung I just think
it's going to push this back in and I've
got it to a position where I can grip it
from the outer part of the ear ear canal so
I think it's a if we can get it out with
the the crocodile for so we'll certainly
try get a better grip now yeah just see
it all manoeuvring await there you go
see you all coming away in a larger
piece tell me a lot of patience
sometimes just gently working on this
obviously we don't know got too rough
with on a coarser patient you just
comfort so almost just a little bit left
in there
there you go that's the remainder and
take a look that we just have a little
bit here at the base of the ear canal so
we've taken away all the stuff that was
at the top of the ear ear canal so use the
suction tube to go in and get this out
just lifting it you can see it's quite
angular so difficult to get a good
suction grip on it so you use the
crocodile forceps again to get hold of
that here we go that's one last little
piece there you can see a little bit of
dry flaky skin in here but don't really
want to take that away if we can help it
we'll leave that here settle down now
osseous had this ear wax in here for quite
some times and needs to repair itself a
little bit
we gently lifting this piece away this
is a little bit of old dry skin and a
little bit of ear wax in there as well so
just breaking that off there there we
are there's the ear drum so this is
everything we took away so it was quite
a bit in there and lots of mixtures of
dry skin dry ear wax yeah quite a difficult
one to do that one so and there we are
then guys I hope you enjoyed the video
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