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 ear wax removal compilation
video today you can see that this patient has some very dry ear wax it's
quite a narrow ear canal as well here so because it is quite dry and it's quite a
narrow ear canal we're gonna use the crocodile forceps just to see if we can
get a grip on this and try and take it out in one piece if possible now you can
see that it was quite a dry section of ear wax there got a little bit of dry skin
at the entrance to the ear canal so we're just going to use the Jobson horn to
take this away sometimes if we use suction with this it just kind of flicks
around at the end of the suction doesn't really take it away very well so we can
see just a little bit of dry skin around the outer edges here as well so we're
just going to gently take some of that away
here we go now when we take a look at the eardrum what you will see you there
are little bubbles to the bottom left hand corner there you go
so that would indicate to me there was probably a little bit of middle ear
fluid here as well you'll just see some bubbles adhering
to the back of the eardrum you can see through the middle ear space this is the
same patient but the other ear so we can see we've got some dry ear wax on this side
as well so we're just going to use the standard size zoellner tube here just to
lift some of this ear wax away
look quite narrow ear canals here middle ear fluid is quite common around these
kind of winter months when it's colder you do get a little bit of a buildup of
fluid buying the ear drum you would experience a little bit of reduced
hearing but not really much else really so we can see we're just starting to get
a good grip on this now it's on its way out I've got a bit stuck on the outside
edge let's see just how narrow the entrance to that ear canal is you know a little
bit of skin and ear wax and take a look at that a couple of bubbles there to the
right hand side on this one so other than that looks quite healthy so this is
what we removed in in both sides so I'm not tremendous amounts when you look at
it in relation to the size of the ear canal itself so this is the second
patient in the compilation you can see they've been using some hydrogen
peroxide here because you can see we've got some bubbles in the ear canal there
where it's been bubbling through some of this ear wax got dark nugget of ear wax in there
as well so we're going to use a bit of suction on on this patient so this is
the standard size zoellner tube just to take this larger piece away first so
just waiting for that to get a good grip you can see it's just trying to find the
right spot there we are to start taking larger chunks of this away just sticking
with the standard size zoellner tube a minute particularly some of that excess
got a peroxide solution lots of people ask in the comments about hydrogen
peroxide it can be effective for some people they sell it in there's lots of
branded bits and pieces over here in the UK they sell that as what we tend to
find with a lot of the ear wax is it it's quite aggressive so it does tend to
really liquify the ear wax you can see we've got some fibers here so I don't think
this part here is ear wax I think this section is actually a part of cotton
wool as you don't you although you see hairs in ear wax you don't tend to see this
kind of very fibrous material and as we suction it you can see we're starting
to get some of these fibers loosening out
from it now with cotton wool if it's been in there a long time it'll harden
up kind of almost mummify if you like and what we're doing was breaking this
away so we can see it's just starting to just start to move it's quite large it
really deep so this is this is looks like YouTube views there's a couple of
little spores here as well so I think this this is Lots going on this year I
think we've got a piece of cotton wall that's been stuck in here we've used
some peroxide to loosen it I think there's also a bit of a fungal infection
just starting in here as well so we need to get this out you can see we're just
trying to turn it now we've turned it you can start to see a little bit more
of the fibers coming away you can start to see the whiter color to the cotton
wall behind as well so we're gonna use the crocodile forceps
just to get a good grip on these fibers because we've loosened them up and there
we are so that was the end of a cotton wool ball so you can see that this would
have made you more prone to things like infection you can see it's trapped all
this kind of dead skin and stuff behind it so we're just going to take some
of that way just with just the larger sections by removing that we're going to
allow the natural skin migrations to take place in the ear canal again so not
too necessary to remove all of this as yeah that's much more comfortable for
the patient to let it repair itself must take it all away but we'll just
take some of the larger pieces off the ear canal wall itself looks nice and healthy
there's no kind of issues there it may well that we may have caught that fungal
infection early enough not for it to cause too much trouble but there you can see the
larger piece is the cotton wool and the smaller piece there is the
darker ear wax it was on the outside edge of it okay so this is our final patient
in this compilation so we've got some very soft ear wax here on the outer part
of the ear canal
just going to use the standard size zoellner tube again just suctioning away some of
this loose wetter ear wax at the entrance
you can see we got a harder piece there we have managed to take away as well it's not
uncommon to get softer ear wax on the outer part the you know a lot of people will
use things like olive oil before they come in it's not necessary when you
carry out suction if you were having things like irrigation and you
want to make that ear wax nice and soft but with suction doesn't matter if it's
slightly harder but softening drops like olive oil things that will will
only work on what and comes into contact with so a lot of the time the entrance
that can now the front end of the ear wax will look very soft because it's coming
to contact with those softening drops and obviously it hasn't got to the
pieces further in there so we can see we've got a angular piece of ear wax here
slightly harder so we're just using the crocodile forceps now just to take that
piece away see just how long that piece of ear wax was there's a little bit more in
there so we just need to remove that as well
okay so we can see the eardrum now got a piece of thin piece of ear wax really stuck
to the ear canal wall the left-hand side here we're just lifting a bit of dry
skin now at the entrance to the ear canal
this piece of ear wax that we are looking to try and remove now you can see it there
obviously it's not going to cause any problems for the patient because they'll
still be able to hear perfectly well with that in there as it's not blocking the
ear canal but be nice if we could get that piece away here we are you go
so that thin plate of ear wax has gone so let's take a good look at the eardrum
yeah looks absolutely perfect nice light
reflux all that's good so this is the same patient but the second ear now so
we can see we've got another angular piece of ear wax in here not completely
blocking the ear canal but worth removing because that this patient is
going to be back before long to get it taken away other way so just giving some
of the softer pieces of ear wax at the entrance here maybe I've just got a grip
on it and brought that ear wax forwards just working this out of the ear canal and
see the entrance to this ear canal is quite narrow just trying to find a good grip
on the ear wax and then we're going to have to wiggle this up and down a little bit
to get it out of the entrance because obviously the ear canal further in is
much wider so we've got a wider piece of ear wax trying to gather of a small entrance
so just gonna use the crocodile forceps just to get a grip on this see if we can
get a good enough grip see if it's hard enough for us to remove you can see it's
just start to crumble a little bit underneath the underneath the forceps so
you opt to use the Jobson horne instead
here we aren't just working its way out
see how hard that is trying to push the Jobson horn into it and just
tidy up the entrance to the ear canal now little bit of broken away you know yeah
there's the eardrum on that side as well you can see looks nice and healthy so
this is what we removed from this patient you can see quite thin the hard
darker drier ear wax there but - yeah about 3.5cm there
thank you very much for watching our video today if you did enjoy the video
then please like if you not subscribe to idea you'd like to do so you can click
the subscribe button here if you'd like to check out some more our videos
there also up there now if you want to follow us you can do on Facebook Twitter
Instagram and also check our website if you want to know a little bit more about
us as always guys until the next time take care