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 watch nightly ear wax removal
compilation video today so we have four
patients in this video first patient
here you can see he's got very soft
ear wax I think you've said on a couple
of videos recently we're getting a lot
more patients with this much softer
type of ear wax mainly because I think that
people are trying our patients are
trying to use more kind of home remedies
and stuffing over the counter to remove
ear wax and in some cases that does work but
I think what we're seeing is a lot of
patients who've thrown kind of
everything at it but the kitchen sink
and it's not really it's not really come
away so we're just using the standard
size as on the 2p just have to take a
kind of good grip on this and pull this
out you can see a long strip of skin
there coming away maybe that's what's
being binding this ear wax together so we're
just going to go behind that now just
Hoover up any of the smaller pieces you
can see the skin stretching up from the
ear canal wall there that's quite common
especially when people have used say a
lot of olive oil if they've really been
kind of drenching the ear canal with olive
oil then you can get these kind of
separations to the skin layer sometimes
it's just become just over moisturised
basically and they realise the eardrum
so this is the patient second here you
can see it doesn't look quite as wet on
this side
just using the standard size on the tube
again now we go and see it just starting
to pull away you can see these skin
pieces in here as well these longer
strips binding some of this together
just getting our first glimpse of the
ear drum there um if it's okay with you
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and you can see we're just getting these
longer bits of skin coming away we've
got a little bit of dry skin here at the
top still attached to the ear canal wall so
we're just going to do just a little bit
of trying to tidy this away don't go too
mad on the skin with only cause apollon
any bleeding in here so just tidy up the
edges oh yeah so there's the eardrum
there a lot of what we suction don't end
up in the tank so that's why I'm showing
you that the little bits of debris
floating around in there so this is our
second patient again very soft and
squishy ear wax we have got a slight gap
at the top of this ear wax but this patient
found that when they lay in bed at night
when they wake up in one area feels
blocked up for an hour or so and then
unblocked so basically where this ear wax is
very soft when they lay on that
yeah all that side at night it just
compresses the ear wax and blocks the ear
ear canal so just wanted this removed quite
a sticky bit of ear wax here at the base of
the ear canal just trying to lift that up
you can see by its sticky nature how
that would bind then stick to both ear canal
walls when it when you lay on them and
this you can I was not that rounded
shape was much walking oval narrower
shape to top and bottom there you go
nobody comes just tidy some of the
sticky or ear wax around the outside edge
and there we are there's the ear drum
there so this is what we removed from
this ear you can see what saw four
centimetre just over us but just under a
centimetre a half by half an inch okay
so this is our third patient now in the
compilations that one more to go after
this one you can see this is a little
bit harder this ear wax does look like
there's a little bit of dry skin at the
bottom of it as well
quite angular at the front end so not
the easiest to get a grip on with the
suction but the ago this that there's a
skin you can see just lifting from the
ear canal wall so we've got to get rid of
that first or at least move it out of
the way so we can get to this section
behind so you can see the skin getting
sucked into the end of the zone or tube
there and there we are a nice long plug
of ear wax there little bit more inside the
ear canal so we'll just go in and get
this bit as well
just manoeuvring this down the ear canal
good Griffin over the section there we
go and we have a lovely shiny eardrum so
this is what we move so to the right
hand side around a bit the one after
- and our centimetres that's the big
plug we took away and the smaller pieces
there to the left okay so this is the
last patient out compilation this
patient that come through he was a young
man worked on some building sites and
bits and pieces and had very kind of dry
ear wax he'd failed medical go and trying
to go into the armed services and was
struggling a little bit with his hearing
on the right hand side came through to
see us because he'd been three times I
think it was all together to try and get
as he is cleaned out with his local
doctor they'd had three attempts at it
and basically said the ear wax was too
hard to remove there was no way I was
going to come out so found us on YouTube
and come into Hobart their ears cleaned
out today so you can see it very hard
piece of ear wax very deep in the ear canal so
not the most comfortable place to have
your ear wax removed from because it's in
the very sensitive part of the ear and
you can see we're having to kind of move
the ear wax and manoeuvre it left and right
up and down just to try and loosen it
off the ear canal walls first of all so you
can see it's just coming away maybe I
just got a broken at a nice big piece
away there just going in to get the next
section now so what we're doing first is
loosening off the ear canal walls you can
see they're loosening off the ear canal wall
getting a grip on that piece then
manoeuvring that piece away then tidying
up any looser debris and then going back
in again then to get the next section so
we can see this ear wax was very deep
so sitting right on top of the ear drum
we haven't quite got to that very
deep section yet this is the really deep
part you can see that kind of Ridge to
the ear canal then you know the ear drum is
going to be just
on the other side of that Ridge so just
grabbing and then you can just start to
see the edge of the eardrum here now
let's just block the view off to the
eardrum again sorry let's wait for this
to move out of the way
sometimes when you got this Ridge
you got a wider piece of ear wax that sits
deeper in so it's you have to lift it
over that over that Ridge to get it out
so we've got that piece of waiters who
should be able to see the eardrum yeah
we can just start to see them to the
left-hand side there should get a better
view of it now when this can there you
go the Eagle there's the eardrum there
so we've just got a little tiny bit of
kind of dry ear waxing skin so just grab
that as well there we are there's the
eardrum so this is the same patient now
but the other ear with this ear they
didn't realise that they had a blockage
they could hear quite well it wasn't
until we removed the ear wax from the right
side did they realise that they weren't
actually here and particularly well on
the left so later but there's quite a
bit of ear wax in this side lots of very
fine
Cilla at the entrance to the ear canal so
you'll have to kind of bear with this
one because the ear wax was so far towards
the outer part of the ear canal the
camera has to sit behind the tools which
unfortunately is gonna put it jest in
the way of these Cilla so bear with this
a little bit so we're just gonna try and
loosen it off you can see just how tough
this ear wax is now the other side has
obviously had three lots of syringe in
treatment
lots of drops oil all sorts got in there
to soften that up now this hasn't had
anything at all to soften this
whatsoever which you don't need for
something we can do this on a dry
ear wax it just takes a little bit longer
sometimes so just using the standard
size on the tip here just to loosen some
of the dead skin from the base of this
block of ear wax because that's going to
hold some of this in so we're just
getting rid of that
there we go now we know this is really
kind of tough old stuff so we are gonna
have to switch tools in a minute but
we're just getting this away first isn't
trained to loosen as much of the ear wax on
the entrance as we can sometimes if you
lift it from the base there you'll get a
nice big chunk or the whole thing will
move in one go
that's not really happening here yet
we're getting a bit of movement but it's
such a big piece and so perfectly formed
to the shape of the ear canal that we're not
going that the really good kind of
wiggle that we normally get with ear wax and
if you're enjoying the videos guys well
this is just pulling through if you
haven't liked it if you could like the
video also drop us a comment I do read
them or I might not be able to respond
to all them but I do read them all I
promise you if you're brave enough you
can share it and a lot of people are a
bit nervous about any ear wax videos but if
you're brave enough to do it please
share you can see it just using the
Jobson horn there to break this down and
work this ear wax out so what we have is a
very hard out the core has outer shell
I'm sorry with a softer kind of core of
ear wax and softer stickier call such yes
pulling this out now piece by piece
there we go it's on its way now we just
don't see a little bit of a gap at the
top of the ear wax now you can see the colour
change much darker ear wax here at the
the kind of centre of this of this
blockage so you've got the lighter
kind of out to shell and this harder
this harder came out sorry this softer
harder outer shell and softer darker
coloured ear wax at the centre because we
pulled through it with the Jobson horn
what we need to know you end up with
normally a sticky layer if it doesn't
all come out in one piece you end up
taking through the centre and pressing
the sides of the ear wax there and against
the ear canal walls so what we've done
though is we're just using the
micro section just to unstick that and
we can see now we've got a dry a piece
of ear wax much deeper in so just going in
to get that piece now when this patients
ears were clean though he was he just
could get over it he was really very
shocked at just how much sound he could
hear and you vet he was so aware of all
the sound around him it was quite
funny to watch just get into the deeper
sections now I did promise her praise
with your on YouTube so it's on so it
did say we go on this week so there we
go you can see it on its way out now
much deeper harder ear wax now there you go
get through this also and there we are
is the eardrum there little bit of ear wax
you saw on the right hand side it's very
soft the patient had already sat through
a lot but the time we got to that point
and I got to take that away it'll come
over your bath and show us
thank you very much for watching our
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take care