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
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[Music]
hi everybody this is Rhys barber from
audiology associates thank you very much
watching our video today so we have one
patient in this earwax removal video
patience comes through really blocked up
on one side no issues whatsoever on the
other side perfectly clear canal really
healthy-looking a new drum what we have
here is a really hardened up piece of
earwax in this ear canal that's quite
quite large so a quite a large chunk of
earwax in here you can see as we use in the
micro microsuction tube here we can get a bit
of a grip on it but as we move it up and
down we're not really budging it at all
so this was quite a difficult one to
remove we're gonna use the Jobson horn
now just to go over the top of this earwax
and just start breaking it down the earwax
in this video is a really difficult one
to remove because it's so varied in
consistency
we've got some really hardened up earwax
around the outside edge which you can
see us just taking away from the ear canal
wall here which has some dry skin
embedded around it so it's really held
in by this plug of dry skin in
the centre of this earwax is really soft
which makes it really hard to remove
because you haven't got consistency as
far as the consistency of the earwax so
we're using the Jobson on just remove
the outside edge first of all you guys
broken that harder section there away
you can see we've got this more
thickened up but still quite soft earwax
here in the centre so you can see the
jobs moving into that really easily but
around the outside edge is this really
hard shell now the hard shell is going
to be what's a little bit more difficult
to remove so you can see we're going to
pull it away from the ear canal wall here
now normally if the earwax was this hard
all the way through we'd be using things
like crocodile forceps to get in there
and to remove it but then the crocodile
for so isn't going to be helping with
the more kind of softer earwax in the
centre so we're gonna have to keep
switching tools quite a bit here so we
get rid this bit of dry skin
start with and you'll see now as we get
a grip on this harder section of earwax on
the outside edge as we pull it just
tears because the that the hard shell is
quite thin it's not a really thick hard
piece of earwax if that was the case than
that crocodile force it would hold on to
it really easily so just using the micro
section again now just to manoeuvre this
harder shell of earwax to the centre of
the ear canal I'm just trying to loosen
it up trying to get any grip on here um
but it's too hard for the microsuction to
pull out it's too soft for the crocodile
forceps or tooth inertia tissue if the
crocodile false hopes get a good grip on
it and too soft in the centre for us to
get a good grip with the Jobson horn so
you can see how this is going to be a
little bit more problematic so not the
easiest of extractions to do just trying
to get above the earwax if we can
it doesn't help it's perfectly form to
the shape of the ear canal which is
making it a little there's not enough
room to manoeuvre kind of wiggle this ear wax
back and forth one stick it from the
ear canal walls and the dry skin around yo
so they're just holding that hard shell
in place so you might be able to see it
as we pull down here you see the white
layer there that the jobs are all just
going into that's actually dry skin
that's been holding and really attached
itself to that outer shell of ear wax so
quite problematic to pull that away so
you've got the skin holding it in its
perfectly formed to the shape of the
ear canal and this very different
consistencies all the way through it at
the moment it's just trying to find any
kind of leverage on this ear wax to try and
get it out so switch back to the micro
section just to tidy up a little bit and
to see if we can get some movement to
this harder shell you can see they're
just really trying to hold onto it
wiggle this up and down trying to break
this adhesion with the harder Skinner
and outside edge as well is he just so
tough this is so this out to show
is really hardened up you can see we've
gotten a good grip on that with a
section but just so being held in so
tightly by that skin surrounding it it's
really just holding this ear wax in place so
it's just not budging with the micro
microsuction so back to the Jobson horn again
now though we've pulled some of the ear wax
on the top of the ear canal means we can get
the Jobson horn in and try and loosen
this up we can see that white skin there
just behind the jobs and horn there
again just hearing about it being very
soft or as you pull with the Jobson horn
yet you're pulling through that soft ear wax
in the centre but it's not making a dent
on this harder ear wax on the outside edge
so back in with the forceps now to see
if we can hold on to a piece to take
this away so why I should break a little
bit off there you go there with some
more coming away there now
just trying to find any little bit of
leverage we can in here you can see the
stretching of that skin as we're pulling
it away you can see it all laid
underneath the Jobson horn so it's you
can see the slight pinkness to the skin
underneath where we're taking away this
sort of dry dead layer on the top so
this would have been quite it she and
the patients here patients suffered a
little bit with dry skin anyway around
the outside of the year so you can
understand why this would have formed
deepen in the ear canal there as we lift up
now see the white skin underneath there
you can see it just sticking to the
bottom of this hard layer of ear wax so
just using the crocodile forceps again
to see if we can get a bit of movement
certainly not the easiest of extraction
this one just trying to get a grip so I
put a bit of pressure on it to hold on
to it but not too much pressure to shear
it off it's a real delicate balance with
that with this type of ear wax and so
you've got that kind of plate there now
so where it's been compressed together
with the nose of the force out there
there we go so we've got that section
away you can see you got another plate
of dry ear wax there so we'll go in and grab
that now
it's just obscuring my view a little bit
this loose section at the front here's
we're just going to take this away using
the micro structure tube oh yeah there's
two get that away now you can see
although we've taken quite a big chunk
away there's still this a hard block
here in the centre very soft look at the
top you can see the difference in the
consistency where you're trying to hold
on to the top it's just a thick but
thick but soft layer there so we're
gonna use the Jobson just to try and
roll this forwards and see it still
playable this ear waxes in the centre very
dark so this is being here for quite
some time
I was just scraping that softer ear wax away
from the surface of the heart of ear wax
underneath and because it's quite soft
just kind of trying to use a bit of
micro section just to reposition this
I'll try and remove some of it you can
see as we lift here like it's here the
white dead skin underneath it
now we've taken some away from above it
means we can bend this bottom section of
ear wax up a little bit now to try and get a
grip on the softer pieces underneath or
the smoother pieces I should say rather
sorry back in with the forceps now it's
taking a chunk from the centre excuse me
you still see there's quite a bit in
there though
you're not really doing much good
without softer material in the centre
but there is this there we go this
harder piece that we can get a grip on
the outside edge so back into peel some
of this away now we've moved the
left-hand side we can collapse the top
and the right in to the centre of the
ear canal just to try and free this up a lot
of the time is trained unstick it in
position so if you can remove a piece it
means you can bend another piece in to
unstick that bit and take that away but
you can see just how firmly this is held
in here it looks like we're coming to
that the last section of it now so we've
taken that one piece away see if we can
get to this section underneath you can
see just starting to pull forward twist
it's becoming a little bit looser now
there we go and I think this is the last
section that's available in here so you
can see that's much looser as soon as we
touch it with a crocodile forceps it's
moving now we've unstuck it from the
ear canal walls and they see you don't see a
lot of the dead skin just around the
outside edge there so this is what we
removed so you can see the very light
white pieces on here that's there that's
the dead skin attached to the outside
edge
you very much more snow veneer today if
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always guys until the next time take
care