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 what we do today apologies
for not posting some videos in the last
week and a half with our family
emergency had to take some emergency
leave but we're back in work today
so what we have here is a compilation of
two different patients
so this first patient has a buildup of
very dry skin and what you saw in the
last shot there was that the skins
actually grown up from the ear canal walls
up into the ear canal so it's kind of
blocking the ear canal off a little bit
so what we're doing here is using the
standard saison or tube just to probe
the front end of this kind of very thin
skin layer to try and lift it from the
ear canal wall if we can sometimes if you
lift from the base here you can get a
grip underneath it with crocodile
forceps and take the whole thing out you
can just start to see a little bit of a
lift and peel there just switch into the
fine ends now because sometimes you can
get a better lift with a much more
delicate end on there
try not to press too hard into the ear canal
walls it's looking for any any kind of
flex there at all in this dry skin what
you'll see though is as we press on this
left side see the right side is starting
to flex there so it shows me that the
whole thing is one piece of skin so
we're looking for any purchase on this
on this skin there we are to just start
the peel away there
trying to get a grip on some of the
edges here looking for where this skin
starts because it starts quite quite far
out from the ear canal boy look through
there you can just see the top there we
go so as we get a grip on that top layer
there can you see everything they'll
starting to peel away now we've got a
good gap there we're going to go in with
a crocodile forceps just to try and take
this away unfortunately we didn't get it
all in one piecing so you just broke the
end off but we'll go in and get the
remainder from the from the ear canal walls
there as we pull there you go and see
the whole thing comes away we take a
look in there again is the eardrum so
this is what we will this is that skin
layer so you can see it should be about
a centimeter across but boom on your the
ear canal is quite small so or what half
an inch there so this is our second
patient this is much more the kind of
standard stuff we do here so this is
more that the ear wax remove also the
things as you can see it's just quite
soft this we use that the standard size
on the tube here just to probe the
outside of this ear wax see it's quite
crumbly on the outside so little bits
just breaking away so the Jobson horn
comes into play here trying to get
behind it you can see there's a little
bit of dry skin at the job sometimes
just trying to push through there just
to get behind this bit of ear wax
so which in back to the microsuction tube now
just to clear up so obviously when we
use the the jobs when we push down into
the ear wax it can something that's kind of
spread the ear wax or break quite a few
pieces off so we go back in then with
the standard size on the tube just to
microsuction all these little bits and pieces
off the ear canal walls and if you are
enjoying the video skies and if you
don't mind liking sharing if you're not
subscribed already I would think about
subscribing so just grabbing the little
bit of ear wax here we've got a good grip we
can see we're able to get a little bit
of movement a bit of a wiggle to this
ear wax now you see just doesn't want to
budge very well they're quite a home in
this year can all this piece of ear wax
thank you very much for the lovely
messages you guys sent me when I
disappeared for a week and a half as
well
they were appreciate I did read them all
so thank you very much there you go you
can put a little bit of olive oil in
here now just to help us get a good grip
on this harder section of ear wax and to
lubricate the ear canal wall so we're hoping
where is this has been quite firmly
wedged in there by using olive oil we
can hopefully get a good grip and just
wiggle up and down just to get a bit of
movement there now you can see it's
starting to come away now perfect nobody
comes whoops just fell off at the end
and there's the eardrum they're all
looking nice and shiny very similar
story on the other side here so you can
see that we've got some dry looks very
crumbly like the other side
see it's actually quite solid just
starting a few little bits and pieces
breaking off they're difficult this
one's it's quite a narrow taper to the
ear wax at the front end here so you can't
really get the good microsuction grip that
you'd normally need to take this away
because that tapers there so I'm just
trying to break the taper away just so I
can get to the like a more flatter
surface behind there to get a good
microsuction grip here here we go it's the
first piece gone so you'll see what's
left behind it there now there's a bit
more in there
just lift in from the base and train to
unstick as we did with the other side
just getting a bit more wiggle to it now
little bit of movement to this ear wax on
its way it's like the other side it's
very at home in here didn't wanna budge
just move it left right to guide it
remember there are bends in the ear
ear canal so we do have to guide it around a
bend sometimes the ear wax will form on a
bend so you imagine trained a it gets a
slightly curved piece of ear wax through a
straight end you've got to kind of guide
it around the curve first before you can
get it out because I've got it a nice
solid piece up I really want to go in
with the Jobson horn if I can if I can
help it here I'd rather use it as a last
resort if we have to just because it's
it will push down in this ear wax and break
this chunk off well if this is formed at
the bend it's gonna be more difficult to
get a good microsuction grip on it then for
the next section you can see it it's
just starting to come away there we go
now we're starting to get a bit of
movement - it's starting to roll down
the ear canal it's getting there there you
go nobody comes you see a little bit of
white dead skin at the bottom of that
piece of ear wax there that came away and
all can we in this one big piece so you
can see lovely shading you drum there so
this is what we removed from this
patient since he was quite quite a bit
in there but to an inch with the whites
14 both ears and thanks for watching
again guys and I will see you again on
Friday you very much for watching our
video today if you did enjoy the video
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about us as always guys until the next
time take care