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 compilation video today -
patience in this compilation first
patients coming through you can see
they've got some very very blocked up
very very blocked up here here very
thick sticky ear wax embedded in their
surrounding of a dry skin so the first
thing we're going to need to do is
loosen some of this skin off the ear canal
wall which you can see me just working
around the outside edge there with the
SoLoMo tube just hoovering up all those
little bits there we go now we've got
this central section of ear wax here which
has lots of bitter hair embedded it
gentlemen has been using some olive oil
in here which is soften the front end of
the the ear wax ears of the end closest to
the outer part of the ear canal but
we're just gonna try and get a grip on
this section and slowly pull this
towards the outer part of the ear canal
here you can see it's very soft just
under that little bit of skin if we just
slow in the video down here just
slightly so you can see which yes start
the tease away this little section of
ear wax there and it saw it's almost broken
away yeah it's just broken that section
away there so we'll get rid of that you
can see that little like the colored
piece of ear wax there very sticky and soft
okay so that's left that the slightly
harder section of ear wax behind here now
it's quite firmly wedged in this what
we're going to do is hold onto the top
section of ear wax here just slowly pull
down on this to maneuver this out of the
ear canal here just trying to roll it
forwards and and down the ear canal yeah
well thanks to everybody who tuned in
for the live on Saturday night it
completed really did shock both me and
mrs. B just how many people came on we'd
really thought there would be one or two
people we couldn't get over the amount
of people and how friendly you guys all
I was amazing
we had such a great time doing it and
the hour flew we didn't realize it again
if that's something you would like to
see again
would you mind drop it into the comments
below just sort of yes you'd like the
live or no we always like to gauge what
we do on the channel by your reaction to
it so if you want to see another one
comment below let us know if you
wouldn't read that first also those know
us to figure out what's going on you can
see a little bit dry bit of ear waxes come
away there it's all coming away really
nicely I was got wedged on the outer
part of the ear canal here so we just
need to try and wiggle this out also if
I didn't - or answer everybody's
questions I'm really sorry I did try and
go through as many as I could but if we
do another life well we got another
chance again to do it so just have a
roll this down slowly working this down
the ear canal here you can see a little bit
of dry skin that's been holding this in
place as well in with the Jobson horn oh
trying to get behind this - roll it
forward when you get these harder cause
- the ear wax which is what we got here
sometimes is a bit easier because the
outer sections really sticky and soft as
you're pulling it though it'll stick to
the ear canal walls but you can get the jobs
and horn in behind and pull down and
through and see the white skinned
everyday look at the top so that's
obviously been anchoring this into place
if we pull that out maybe I'm just
trying to get it out of the ear canal there
we go that oh no we're sitting in the
bowl of the cab or the ER there lots a
little bit to here's and blockages and
stuff like that in there and we'll take
a look behind that now it's just one
little flap of dry skin you can see
where it was attached to that so that's
a little bit of dry skin that was the
other end of what was attached to - that
bit of ear wax you saw coming away so that's
what bound it to the ear canal wall there so
just go take a little bit of that away
yeah and there's the eardrum we've got
the light reflux they look a little tiny
bit dull but it's not a lot of this
sitting on top of it
so there's the door dual rulers which
everyone thought was a good idea that
we've carried on with that so we've got
two centimetres as few quarters of an
inch I'm gonna go with I'm allowed no to
estimate inches so that is know three
quarters of an inch you you can see this
is our second patient
the compilation this patient has some
really thick but soft ear wax so there's no
ruler shot at the end of this one
because everything got sucked into the
into the tank of this one so what you
can see we've got the standard sized as
all in the tube in here you see the
stickiness to this ear wax ingest how it's
all really stuck to the ear canal walls now
this gentleman has been putting drops in
for over a month
so this ear wax has gone really mushy and
sticky when you have irrigation done
which we don't really tend to do much in
this country - too often these days it's
being phased out slowly
you own the ear wax as soft as it possibly
can do so most GPS are still telling
their patients to soften the ear wax before
they come in when you're having suction
done you want that ear wax a little bit
harder this mushy stuff here it gets
really sticky and it as you're
suctioning it in it's blocking the
suction tube so you have to keep
swelling the suction too through with
water I've introduced a little bit of
olive oil in here just to Train we do
some of the stickiness sometimes when
you do that you'll get this coming out
in much bigger chunks but this is quite
happily staying bound together so it's
you can see it's just stuck all the way
around the outside edge of the ear canal
wall there just trying to pull some of
this ear wax down into the ear canal so we can
get a little bit of purchase on this
obviously always a little bit more
cautious when we're going in there we
look at certain anatomical features as
we go into the ear canal that everybody
has to one degree or another so what we
tend to do is we've got a rough guide as
to how deep we are by you those are
topical features so we know we're
getting closer you can just office
hopefully it'll come in the next shot
all right if you look to the bottom left
hand corner otherwise you'll see a
little thin stripe of blue that's the
eardrum okay so that's how deep we are
so there's the edge of this all this has
gone right down on top of the drum and
don't forget this ear wax is sticky
okay so we're being a little bit more
cautious now because obviously we don't
know how firmly attached that ear wax is to
the drum just yet so we're just trying
to stay away from it a little bit and
pull it towards us I can see it
and come away so it's not really firmly
attached which is good but as it's
traveling down the ear canal it's sticking
really well to those ear canal walls there
we are just got another big chunk coming
away there and if we take a look behind
that you can see it slowly peeling out
these are to me these are always a lot
more difficult than some of the bigger
harder chunks we get this this very
sticky nature because the ear wax doesn't
tend to stay together very well in so
much as you can't go in and take a big
chunk away it tends to be lots of little
bits of removal you can see we've got
this kind of edge just slowly creeping
down the bottom section there we go
we've got a grip on that and the next
section there so now we've taken we've
cleared about two-thirds of the eardrum
we've got a section at the top which is
sitting at the top can I walk I'm not
worried about that at the moment because
obviously that's not going to cause any
problems with the patient's hearing this
section is here we do go back and tidy
up a bit later on but what I'm doing at
the moment is just trying to stay away
for now let's see if we can pull it
towards us the reason I'm staying with
it was Dave with a larger tube there is
because you've got a better chance of
taking away in a larger piece with the
smaller tube what you'll see this is the
fine end going in here it's very sticky
it's gonna block that fine and very very
quickly and you tend to only get very
small tiny little pieces of ear wax coming
away you don't tend to get those bigger
chunks coming away I'm gonna douse this
with olive oil because it's if anything
is going to help to loosen it off the
ear canal walls ask ever do any ear drum
and we'll just take the way the excess
first of all you can see we're just
siphoning all that olive oil into the
suction tank and then we're going to aim
for this bottom section you've heard me
talk about the valley that appears just
buff when just for the ear drum economic
we get the slight dip at the base all
this is wedged into the valley okay and
this is really gonna restrict the
movement to the ear drum at the moment
so I have to work between the ear drum
and the ear canal wall which is what you
can see there so not the easiest of
places to get into but you can see I've
just got a tiny bit to get hold of but
watch as we push down you watch the ear wax
you'll see it actually there you go just
get sucked into the machine
what
don't forget to try to get a grip in the
next section you can see it's not I
can't really get the grip and the angles
here are all wrong to try and get into
that section we have to Train avoid
touching the ear canal wall to the right the
eardrum behind and avoid digging into
that valley at the bottom so you've got
a very specific set of angles you can
get in here so if you want to try and
get round a bend then you have to bend
the tube so what I've done I've added a
very very slight bend to the end of the
fine end here just to allow me to get a
different angle to be able to very
slowly work my way down and try and get
a grip on this bottom section I think
this is going to look I think this is
deceiving as to how much is down there I
think there's actually quite a bit in
that valley so you can see now she is
getting a grip on that top section see
the whole thing just lift ever so
slightly then let's do it again
this see the whole thing pop back up
which shows me that all this is
connected so I'm going to slow
everything down a little bit now watch
now we'll get a grip there we are just
saw that bottom section lift slightly
means I can get a better grip lift again
here we go look at that coming away do
you see how much was hidden down in that
Valley and why it's really important you
got to clear there sometimes so what you
can see is we've got a good grip on this
now I'm just gonna pull really slowly I
want to keep all this together last
thing I want is this breaking now there
we are just coming away really slowly
right we've got it out to the valley now
we can do what it wants it can break at
this point but we've got a really good
piece to get hold of so we're gonna go
back in there you go so we're gonna go
down now slow everything down again they
are just you can see it's coming away
look we're just going holding onto that
right hand section pulling that out of
the valley as well there we go so
everything's come out of that valley now
so that's cleared out you can see was it
a little bit broken race get rid of that
so what we'll see now is we've got rid
of everything from the valley there's
just a little bit of oil left only which
is absolutely fine let's clear some of
this at the top section here now just
try and get rid of some of this so to
get up to this section you tend to sort
of tilt your patient over a little bit
so just tilt the head ever so slightly
away from you and that just helps you to
get up today
thank you very much for watching our
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take care