hi everybody this is Rhys Barber from
audiology associates thank you for
watching that you actually move all
compilation we do today this patients
got some very deep-seated whacks you can
see sitting on a bed of dry skin
that's the ear wax so we just pointed out
that darker material and the blue sort
of Crescent you can see there is the
actually the ear drum so you can see how
deep that this section of ear wax was we're
sitting right on top of the ear drum
we're seeing a lot of these types of
patients coming through recently just
because of because of lockdown people
couldn't get their ear wax removed you're
getting lots of very dry deep seated ear
ear wax coming through so we've got the
standard says on a tube in here now the
first thing we need to try and do is
dislodge this ear wax so we're gonna try and
lift from the skin there you can see
just peel that skin upwards because if
we try and pull that center section
straight away what's gonna happen is
that skin is gonna hold on to that ear wax
and it's not gonna budge at all so we
need to just cut gently lift this off
now if you've watched videos before you
know that this part of the ear canal can
be very very sensitive so we have to be
really careful on not to touch the ear canal
walls as best we can so we're just
hovering that the suction tube just
above there do you see a little bit of
movement there and you can also see
where it start to peel that skin away
that kind of spider where we sort of
look to the skin underneath so we just
start to see a little bit of movement so
we're just gonna try and lift from the
front end there you can see it's really
really lodged in there we can't do an
extreme kind of movement that extreme
wiggle because it's so close to the
eardrum we run the risk of pushing the
back end of that in towards the eardrum
so we're just gonna gently lift from the
sides slowly teasing this off the ear canal
wall we can just start see underneath
now look we've broken that adhesion with
the skin there so it is start them
coming out a little bit looser see how
much more freer movement to the ear wax
there so we're going to introduce a
little bit of olive oil in which is just
going to get underneath that section now
which is gonna stop it from reefs
sticking there you go you can see it's
actually broken apart now that dry skin
so we need to take this section off the
the right hand side it's really stuck
there that's what's holding it in so I'm
just gonna start peeling from a bit
further back because if it is dry skin
we can use the dry skin to our advantage
and we can lift from further back and
that dry skin will lift all the weight
loosen this last little bit of ear wax here
really starting to draw away now you can
see just pulling that top section there
as we pull forward notice how it kinks
the bottom section further back so we're
going to struggle to pull any more down
there without pushing that further in
towards the eardrum so we're just gonna
hold onto this section I'll bring this
forwards and please stay tuned guys I've
got a question I'll ask you later on and
it really does have an impact on the
channel so stick with this video I'm
going to put a poll up a bit later which
I want you to really vote on please
which is gonna sort of you're going to
decide the the way this channel moves
forward so I really want you to take
part in that poll if you can enough for
that so we've got a good grip on this
section now we're pulling this forward
you can see we're just taking this
section away look how all that's held
together you've got a white skin
material the darker harder material then
on the inside you take a look at the
eardrum look we've got a missing a light
reflex here though like reflexes really
dispersed because of the position of the
eardrum is drawn in mottled effect to
the skin blue gray in color so this
eardrum is quite drawn in it's not
really good about good light reflex
we've got that kind of mottled sensation
over the top just where that ear wax has
been trapped down there for so long
so we've got the 3/4 of a centimetre or
3/8 of an inch so this is the second
patient in this compilation you can see
we've got a very similar story but the
ear wax in this case is much wetter see the
sheen that appears on the front end of
this ear wax usually a good indication that
some oils got in plus you can see a
little bit around the entrance there as
well
so this is the standard size on the tube
again here just slowly very very slowly
working our way down looking at how the
ear wax is getting sucked into there's on
the tube there so what that's what we're
looking at it's looking to see how much
of it is getting sucked in there we can
see that we've got this section to the
right-hand side of the eardrum that's
still covered and we can see the slowly
you can see the split White's getting
sucked into the bottom section pulling
out to that valley there as well there
we go so just holding the suction tube
there now watch as this starts to get
pulled away there you go so you can see
that sex we just slowed that down there
it's actually drawn the ear wax out of the
valley a little bit for us here so
we can get a good grip now with the
standard size on the tube holding onto
it there there's a little bit of dry
skin in here as well which is just
helping us a little bit because it's
pulling more of this material this this
sort of debris out of that Valley again
just aiming just slightly above the
ear canal wall look on the right hand side
holding the suction tube there drawing
now see all that peeling away to jump
out to that valley there and then you've
got this last little piece here so we'll
just slowly work our way down to this
using the standard sized tube again
there we go we've got one last little
bit there you can see so we'll switch
now we'll pop the pop the fine end on
just because we can be a bit more
accurate with a fine end when you've got
these smaller pieces just going to take
that last little lump away here we are
just taking the top off it there perfect
and there you can see the ear drum there
as well the light reflects on this one
also quite diffused you can see you get
this quite often with patience you can
see this kind of very diffused like
reflexes sometimes so we're into our
third patient now obviously everything
from the last one got sucked into the
tank so we couldn't show you that one
but this is our third patient so this
patients got some deep-seated skin and
right next door to the ear drum so
slightly different but look as we get a
grip on this now watch this as it peels
the way so we've got a grip on this top
layer of skin now we're gonna draw this
towards the camera this is the fine end
on here very very deep again look how
much of that skin is down in that little
girlie they're still coming there we are
so this kind of long ribbon of skin that
was trapped down there next door to the
ear drum you can see we got still a
little bit of a little bit of ear wax deeper
in so we're gonna stick with the fine in
there slowly there you go you can see
the grip do you see it coming towards
the kettle towards the suction there so
we just sort of jumped towards the
suction that way then you know you've
got your good grip there so we're just
slowly holding this on very gently
drawing this back down the ear canal we've
got to get it around this Bend so you
can see a narrow pinch point there we've
got to get it through because see all
the oil that's gone in there all around
the outside edge there that was a
patient of put on him before they came
along there
that's drawn that larger section away
there so we've got a little bit there to
the right-hand side on the ear canal
entrance so we're just going to nip that
out of the way because obviously it's
going to plunge straight into the camera
and though we've got this little piece
tucked around the corner so what I'm
going to do here is lift this dry skin
from the right-hand side of the ear canal
wall and we're gonna slowly peel this
down towards the eardrum which we're
gonna hope then is gonna draw this last
section away so we're gonna hold there
go did you see our last section jump out
from that little girlie there very very
difficult to get the tool in around the
corner so use you know which we tend to
use what we have in the ear canal is
we're just gonna lift off from the side
lift that dry skin and I will that to do
the work for us rather than try to bend
it around that corner
very dull looking eardrum there so this
is what we remotes we've got two and a
half centimeters I can't quite see the
inches oh here we go
when into the quarter
I gotta go easy into the quarter on that
one okay so this is the last patient the
compilation you can see very very dry
ear wax sitting in front of the eardrum here
just going to go in with the standard
size on the tube here to loosen this up
is a little bit of olive oil in there to
try and loosen this we've got to peel it
away from the ear canal walls as we've done
in the past there is one thing I need
your help with guys we are really torn
at the moment you seem really divided
about which format you like to watch on
these videos so what I'm going to doing
it'll put a pole up which should appear
around about now and if you could decide
you want to carry on with this
particular format where we just do the
voiceover and you don't actually see me
or would you prefer us to do the
voiceover with me in the corner but
rather than we kind of do the
description the beginning we just launch
straight into the ear wax removal so I'm
gonna pull up on the video everyday this
week please vote on it because it will
then whatever whatever is the most
popular of those two votes we will then
move forward with okay so if you can do
that for me that will be brilliant at
least I know what you guys want to see
then don't forget you drive the channel
you just say what you want how you want
to see this stuff so please vote on the
video because it does make a big
difference for me okay so we've just
peeled away from the right hand ear canal
wall
you can see we're slowly slowly lifting
this back it's got kind of stuck there
we've peeled it as far as we can without
it getting stuck further so it's it's
not going to dislodge easily with the
suction there and using the fine end
you're not gonna get that really good
suction grip there so we're holding on
to this now teasing this out just slowly
trying to hold it so thin that if you
clamp too hard on it with the forceps
you're gonna shear straight through it
which is kind of what we're almost doing
there you can see we're just pulling it
there do you see it's shear through
there so we're just going to switch
position now we've got a nice flat edge
to get a good grip on we can get more of
the jaws or the forceps on it back in
it's dry don't forget to the shape of
that ear canal so when you're trying to get
out of a smaller gap or the entrance to
the ear canal it's not always the right
shape to fit out so we just need to pull
this through there you go and if we take
a look in there now what you'll see the
eardrum itself looks good but we've got
see the section at the top of the ear canal
your ear canal there so we've just got to
pull that bit down it's quite sticky ear wax
with a bit of dry skin underneath so
we're just gonna pull that bit down
there using the fine end just working my
way along it train the phone where it's
loosest there we go look at that skin
look underneath see that's what's
holding this on this drier skin layer
let's pull this down there you go
out that comes you'll see that a little
bit of dry skin there attached to the
back see that there so that's what held
this piece up here at the top eardrum
looking a lot better see the difference
in colour smoothness of the skin
compared to the first one you saw so
we're just over three-quarters of an
inch to centimeters there the bit to the
right hand side is a bit of dry skin we
took away