hi everybody this is rhys barber from audiology associates thanks very much for watching your
wax removal compilation video today two patients in this compilation video uh so we can see our
first patient here they've got this very light colored wax now this is gonna be really soft and
squishy or it's gonna mean it's got some big old hard pieces in there with little bits of dry skin
all mixed in with it as well so we can see the entrance here looks quite soft and squishy now
the patient has been using some olive oil which we ask all our patients to do before they come along
that just helps to soften this wax up a little bit but you can see once we've got past that initial
soft section of wax now we're starting to hit this slightly harder chunk that's sitting behind it
so what we're doing here with the standard sized zoner tube is we're starting to remove
some of these softer pieces of wax here and just trying to maneuver this harder plug
peel it away from the ear canal wall it looks pretty firmly stuck there at the moment
but we'll see if we can just move it across there you can see we're just teasing it away just moving
it across from the side of the canal wall um guys while you're watching this bit don't forget if you
do have any questions you want us to answer in one of our youtube short videos drop them into
the comment section below i am trying so hard to answer all your comments i'm certainly reading
every single one that's coming through guys uh so if you do have any questions drop them into those
comments section below i promise i will try and do the one that gets asked the most i think that's
probably the easiest way of doing it for me i'll do a little video on that one if that's okay or if
you find one you think oh that's a great question i wish i'd answered that one give us a thumbs up
the more thumbs up we go on questions the more likely i am to put that one into a youtube short
so you can see now we're just breaking away some of the entrance uh wax here now we get a little
bit of movement can you see that little bit of a wiggle just coming in there there we go there's
that plug we introduced a little bit of olive oil that just helped to get everything moving
from the ear canal there so that front section's broken away there's a whole other section sitting
behind it there though so let's see if we can lift this piece there we are we can see that
gray white gray material underneath it that's dry skin that's been hanging on to this wax stopping
it from coming away and we've got this plugged to the outside edge now we need to turn it slightly
to be able to get it out of the canal don't forget canals don't go straight into your head there's a
little bit of a bend they tend to point forwards and then go in so what you'll get when you get to
the outer part is we've got to negotiate that last little bend there we go we can see the eardrum
there's a little teeny weeny bit of wax uh just stuck on the one side so we'll go grab that now
there we are fine end on for this one always a lot easier to grab those little pieces with a fine end
so this is what it looked like to start with you can see no trace of an eardrum there
pretty blocked up wax right at the entrance to the canal we're looking a lot clearer than
afterwards eardrum looking really healthy so this is the other ear canal here uh very similar story
there is a tiny little gap just above this wax though which i can just see there so that if we
can move the wax and push it upwards we should be able to get into that little bit of a gap less oil
gone into this side why because the patient hadn't really noticed any issues on this side there was
a gap above the wax which meant the sound could still get through uh but it was until we looked
in there we could see there was actually a problem so we're just starting to pull this forwards now
there we go you can see now we've hit that corner wall this is why we're saying about the time to
bend it just as you get to the outer part of the ear canal we've drawn it down but now we
have to negotiate that last little bend so we've got to put a bit of a twist on it and as you can
see i'm trying to aim into that top corner there just to give it a bit of a wiggle around the bend
it doesn't want to go it's quite a home in here it doesn't want to budge okay let's uh what are
we going to do here let's bring the jobson horn in let's get over the top great for scooping this one
so there we are you can see it was held on with a little bit of dry skin that you
just saw break away right at the end there look how crumbly that is very
very dry tight wax no wonder that didn't want to go around the bend with suction
it's struggling to get around with the jobson horn there so there's there we go around it comes
out that comes there we go just roll that last bit you can really see that dry skin material there
right underneath that plug oops doesn't want to pick up hang on there we go we got it let's take
a look behind that then eardrum looking good you can actually see the lifts of dry skin all around
the outside edge there tiny little bit of wax right on the side there we go let's get rid of you
perfect and last little bit just around the corner there is that gonna come away yes it
is a little bit to the side a little bit to the bottom just give a little quick little tidy
little bit of a spruce up on the outside part of the ear canal you guys uh and then we'll see
the eardrum behind looking lovely and healthy so this is what it looked like to start with
this is what it looks like afterwards there it is do you think i was coming there guys so this
is where it moves three and a half centimeters stay tuned everyone don't you go anywhere there
is another wax removal coming up thank you very much uh three and a half said to be there's one
just under an inch and a half just over an inch of the quarter somewhere between the
two that one was guys um so you can see some really big old chunky pieces now this is a
very different you can look at the color difference straight away darker material here
what's right smack in the middle of that piece of wax guys yes there is a dent why is there a dent
exactly right it's been q-tip use again uh so you can see this patient's been using some q-tips and
cotton buds pushed our wax much much further in put a nice big big old dent in the middle squished
it out to the side which makes it a lot harder to do in fairness this patient did admit uh using
uh cotton buds they said they'd actually use the cotton but made that made the problem worse um so
we're just going to remove some of these pieces around the outside you can see we've got quite a
dense bit of hair not just cilia as well not just the little fine hairs but these big old
thick rope like hairs on the outer part ear canal there and there's a lot of those
embedded into this piece of wax but you can see where this patient's been using um q-tips
it's squished and squished and squished and squished to wax it's become rock solid uh you
can i'm gonna dick into a job getting this out you can see i'm struggling basically to get the good
grip here uh on this piece of wax just because the the sides of it are so thin and so narrow that
it's really really hard to get a good suction grip and the center is so depressed it's really hard to
get hold of that bit as well so it does become a much much more difficult wax removal to do
uh right can we get above this let's see will the jobs in horn get above was they got to push
it further in ah just oh you can see how hard that was that just flicked straight off the
top now this is where it becomes problematic because you've got to get that scooping motion
but without putting too much pressure downwards against the bottom of the canal wall there
there we go out that's coming there it is look at that plug coming out
it's a surprise a patient could hear anything at all bless him it was so blocked up in there
you can see those tiny hairs all embedded in there as well uh really kind of jam-packed in there
let's go good look at that give me a bit of a oh look at that give you a bit of a turn as well
the wax did the twirl on the way out there for you guys uh so we'll take a look behind there
we go look at that eardrum looking lovely so this is what it looked like before just wax everywhere
here everywhere uh looking so much better there look there you go let's have a look at the other
side and now you can see there's no depression on this one patient hadn't been using a q-tip on
this one uh or if if they had they didn't go in quite as deep but we've still got this big old
chunky plug in here that looks dry as a bone so let's try and get a little bit of suction on this
let's reposition this if i'm lucky you can give it a little bit of a wiggle down the ear canal
it's not quite budging here now actually one of the comments
uh which made me giggle this one i was reading this morning um it said
why do you say walking the wax to the ear canal the aerosmith walked this way stuck in the head
which is thanks very much guys he's now stuck in mine as well so it's kind of it's it's that sort
of you know walking it down kind of wiggling it back and forth all the way down the canal there
on its way out was one other comment actually which is a really unusual request i had a lady
asking me to pronounce a name uh a welsh name uh which was taliesin if you read if it if it comes
out you did write it in the comments and rather do a whole video i thought i'd just chuck it into
this one so yeah that's the way you pronounce that that particular name is taliesin uh you know you
are if you if you see it so we're just getting this last couple of pieces out here as well
um you can see it's really really dry i'm dropping into the wax here trying to sort
of pull and scoop the whole plug you can see the front end is coming away there look at all that
here though there is so much hair embedded in this wax so we're just going to pull this through
it's really it's not crumbly it's a really odd consistency this one's a bit like um
magic sand you guys haven't as you probably have you've probably had it before we did in the us but
there's uh you use magic sun it's that kind of consistency you're almost quite solid when you
put pressure on it but then it starts as soon as you alleviate the pressure also it starts to
crumble apart it's uh it's a funny old consistency this one you can see the visuals as well where
because we're working right on the outside part of the ear we've got this plugged to the outside part
we're working directly behind the cilia with the endoscope this it's really difficult to to
kind of get through um those hairs to be able to see but not bad enough that we need to trim them
out i do know some audiologists who just clamp on those with forceps and just rip them out uh
which is shivers down my spine but there you go you can see it's coming away
there we are there's that plug let's see if we can lift this up there it is oh another little twill
spoiling you guys today wax twirls eardrum looks lovely and healthy uh this is what it looked like
before you can see completely and utterly blocked and you can see the egg drum looking lovely
and healthy there so three centimeters one and a quarter inches much easier with my easy read ruler
um yeah so a nice big plugs in don't forget guys uh drop any queries you've got into the comment
section below if you come across a question in the comments rather than ask it again you think it's
a good one give it a thumbs up the more thumbs up with a question i'll be able to pick out the ones
to do the short videos on so i'll see you again real soon as always guys take care of yourselves
to keep your ears and take care of one another i'll see you in the next video bye everyone