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 watching our ear wax
removal compilation video today we have
two patients in this compilation so
first patient he has come through with
some dry skin and ear wax stuck in the ear
ear canal what you can see is we got a long
strip of dry skin there the base of this
piece were taken away with a lot of ear wax
stuck to it which has caused a blockage
in the ear canal you see it peeling away
there what we have is a little bit of
ear wax here if I move that at the way you
can see it's almost like a pocket of dry
skin so we're just gonna try and detach
that always a little bit more difficult
when you're taking away skin using
microsuction just because you can get a very
high-pitched squeak or squeal when you
take it away so you've got to be a
little bit more careful when you're
doing this you can see it's all coming
away it's a little pocket there taking
off from the edge yeah so there's the
ear drum all looking nice and healthy
and shiny so this is that dry skin so it
originated about a third of the way in
the ear canal and then the ear wax had stuck
to that so we just go up to a second
patient now this patients come through
with a ear wax blockage in both ear canals
really hardened up dry ear wax so it's gonna
take a little bit of time to get this
one out
yeah when you get really hardened duct
and flattish a kind of surface to ear wax
like this one is it's really difficult
to get a good microsuction grip so what I'm
trying to do here is just move it away
from the ear canal wall so we can maybe use
a couple of other tools at the moment it
looks to me like it's attached to the
actual ear canal wall so there's a bit of
dry skin in here as well embedded in the
ear wax which is still connected to look in
our wall so that's why I wanna loosen it
we first just to get a better idea
what's going on here and thank you very
much for your positive comments on the
last video guys while I'm just wrestling
with this little piece of ear wax here
obviously you can tell this is up to 199
just using the crocodile force helps to
get a grip on either side to pull this
out a second
so episode 200 is in the making we want
to do something a little bit different
to what we normally do
unfortunately because it's a little bit
different it's taking me ages to edit so
go alone some new editing techniques so
it's gonna be a couple more weeks so I
can get 200 out but in the meantime so
you guys don't miss out on the kind of
normal watch from all videos we do I'm
gonna skip 200 I'm going to post 201 on
Friday and we're gonna keep going up
from there and I will drop the 200th
episode eggs I really want to make it
look good I want it right before I do it
so bear with me a couple more weeks and
I will do a big 200th episode I'm not
gonna tell you what it is what we're
doing I'm just gonna drop it on the
premiere I think so back to what we're
doing now this we might have pulled it
out a little bit with the crocodile
forceps and what I'm doing is just kind
of wrestling with it because the ear wax is
dried around a large pocket of dry skin
which is sitting behind it so it's
really tough too tough to pull out with
the micro section so we're using the
Jobson horn to bring this forwards and
you can see that piece of skin that was
attached to the back here you can see
actually where it's be attached all that
ring of dry skin there it looks to me as
if it's on the portion of the ear canal with
the skull part of the ear canal meets the
cartilage part on the outside they said
we called the Isthmus so I think what's
happened as the skinners migrated over
that sections actually detached and then
you've got the ear wax that was migrating
trailer or trying to migrate past that
sorry actually getting stuck in in with
that skin as well so it's really kind of
anchored everything into place
and then because it can't come out it
started to dry out and get that solid
piece you saw at the entrance there so
what I'm doing now is using the
crocodile forceps just to take away some
little bits of these this dry skin you
can see the eardrum there looks nice and
healthy when you put look through
there's a little bit just stuck at the
top here on the ear canal wall so I'm trying
to use the crocodile forceps it's a
really awkward shape
it's in a really awkward position so I'm
trying to bend the forceps around
without touching the ear canal wall which is
really difficult cuz it really narrows
at this point and trying to maneuver
this out you can see how difficult that
is
and it's not when you've got the forceps
in the UK that's not as easy as just be
able to tilt them and turn them you've
got to cut it the forceps that go back
in in in the orientation you need to
have I mean so it's not as easiest to
kind of wiggle them around in there in
the ear canal I couldn't get a good enough
grip on it so I've switched to this
smaller ent fine end here just to take a
little bit away here we are now the same
patient but the second ear this time so
another very dried-out piece of ear wax a
little teeny-weeny gap there at the top
so you can see it's very kind of runny
even on the surface I'm just going to
see if we can get a grip on this with
the microsuction but as you can see it's kind
of tough as old boots really it's not
really it kind of bends and flexes but
we've mostly give it a leading edge here
so I'm just gonna go in with a crocodile
forceps now just to grab that see if we
can take that out you can see just how
tough that stuff is that the ear wax itself
is pretty pretty hard but it's really
anchored in place so I'm going to use
the Jobson horn aim for that gap at the
top and try and pull down but what
you'll be able to see is that it's still
actually connected like the other ear canal
out the other ear wax was on the other side
it's still connected to the ear canal wall
so we've got a large piece of dry skin
holding all of this into place I'm
trying to get a good grip on the end so
you can see how hardened up this is and
no matter how I'm pulling with that
through it with the jobs in hole it's
just kind of dragging and stretching it
rather than pulling it out just just
trainer maneuver this around just taking
it away from the ear canal wall there to the
left-hand side trying to fold it into
the center as we normally do then to try
and remove it
but it's just moving it's not really
kind of pulling out at the moment so
quite a frustrating piece of ear waxed
remover this one so it broke on the
front end off which is just going to
give you a better view a bit further in
trying to eight that you can see the gap
you can see the eardrum through the gap
on the top left corner but the ear wax in
front of it is literally just stretching
it's not it's not budging so I think
it's a combination of the consistency of
the ear wax and that dry skin that's there
you go over that bottom section away so
I've broken the front end off here now
so what we're left with is this very
kind of hardened up stick you can see it
peeling away from the ear canal wall so
that's a mixture of dry skin dry ear wax
they're peeling away trying to lift it
from the bottom because if I try and
pull down from the top without detaching
this bottom section that's all that's
gonna happen is this ear wax is just gonna
keep stretching and sliding it's not
gonna budge so I've put a bit of olive
oil in there which is gonna help to
loosen the sticky nature of the Y so
it'll loosen it off the base of the
ear canal wall a little bit
so you just trying to lift peel it back
lift peel it back just slowly working it
down but it is firmly wedged in here
back in my the crocodile forceps now see
if we can get underneath it to lift it
away oh it's it's almost budging we are
slowly working out to the ear canal just
trying to get a grip on any part of it
this guy I'm trying to hold the whole
thing in one one piece if I can just
because it's sitting really close to the
eardrum I don't want to be too rough
with it but when it becomes this this
tough you have to put a little bit of
force behind it unfortunately back in
with the forceps and I'm trying to work
down the side of the ear canal there you go
- to break the top piece away you can
see we've got this bottom section here
that's firmly wedged it's it's
frustrating piece of works because it's
it's tough but not tough enough to hold
on to a single part of it and pull it
out it kind of bends and flexes so I've
really got to kind of get this dry skin
and ear wax off the base of this ear canal so
I'm gonna have to be a little bit
rougher though normally would like to be
to do this backing with the forceps
constantly switching tools trying to get
the best grip to be able to maneuver
this away okay that's broken that front
section you can see trying to peel lift
it off the ear canal wall trying to give it
a bit of a wiggle as well to really
loosen it off there you can see the
layer of dry skin that is holding it in
and that's just beyond the microsuction tube
there so now we've lifted it we'll see
if we can get underneath it now with the
forcep doesn't have to work on the ear canal
wall which I don't really like doing and
they it's pulled it away now what your
spot is that red mark there like that's
just where the crocodile forcep the can
wall because you can understand now why
we say it's you you try and avoid those
walls as much as you can so quite a bit
came away the bit to the right is
walking about the second ear
you very much for watching our video
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always guys until the next time take
care