hi everybody my name is Rhys Barber I'm
the audiologist here at audiology
associates our Christmas gift to you
this ear is the 12 days of ear wax mess
you're gonna be getting a new video from
us every day now up until Christmas day
so I really hope you enjoy the videos
and as always guys take a hi everybody
this is Reese Bobby welcome to day 7 of
the 12 days of ear wax mass so you can see
we've got a very very deep seated
blockage here very similar to what we
had in the yesterday's video but I think
what's happened here is the patient did
they were quite a substantial blockage
use some olive oil which is soften the
ear wax but it's flow backwards so it's
actually stuck really deep in the ear canal
so just on top of the ear drum so you
can see it's very wet patiently using a
lot of drops in here to try and soften
this up and try and shift it when the
ear wax is this deep though it's it can't
migrate out the mechanism for migrating
the ear wax out isn't there so it means that
with this type of ear wax problem where it's
covering the ear drum the only way
you're gonna get this out is by having
it physically removed so we can see
we've cleared a good 2/3 of the ear drum
they're all very soft stuffs all getting
sucked inside these on the tube just
trying to get to this bottom section
we've talked before but this valley just
in front of the ear drum we can see
we've got some ear wax just just visible
just above the ridge of that valley so
I'm using the suction tube just to try
and gently probe that out but you can
see it's probably difficult to get the
angle I need if we tilt the camera up a
little bit you can see it's we're going
to use the fine end now and what you'll
see is when we start to remove this when
we get a grip on this section you'll see
just how much was hidden down there so
as we just aim to get the grip here just
slow in the video down low so you can
see this coming away you can see just
how much of that came away there so a
very very deep seated piece sitting just
over the edge of that value there you
can see we've got some little Ridge of
ear wax so we'll just get rid of that this
is remnants as we pull that deeper piece
away you'll get these remnants just
adhere into that ridge of ridge of bony
outgrowth a on that on the ear canal wall
a little bit of ear wax stuck to the roof so
we're just gonna get rid of that now
obviously we still got the fine end on
at the moment which is it's great for
doing delicate work but if you're trying
to clear a big section as we can see
it's starting to pull down them into a
bigger piece we're better off switching
now to the standard size on the tube
just got our wider end on it helps to
get a lot more ear wax tucked in in one go
you can see how quickly that clears
there compared to using the fine end so
we're just gonna take a few of these
pieces away there we go there's a little
bit here just at the top they all just
suction some of that away here we are
and we can see the eardrum there so you
can see it a little bit of a mottled
colour to the eardrum so a little bit
dull you know you can get that following
middle ear fluid or slight retraction to
the eardrum as well so this is the
patient's other ear now all hasn't had
any problems with this side human was
perfectly normal you can see little gaps
there above the above the ear wax itself but
one large blockage here on the outer
part of the ear canal so we're just
going to detach the sticky section there
at the front just slowed the stone so
you can see what's going on there we go
and out that comes you can see it was
just just going into the ear canal a little
bit there and we've got a little bit of
debris around the outside edge here a
little bit of dry skin and that soft
little bit of ear wax just there as well so
what we're going to do now is I'm going
to pass backwards over this because if
we push forward sometimes it runs the
risk of digging into the ear canal you can
see we've got this little flap of dry
skin that's lifting there we are so
we're just going to if we pull from the
back to the front with this it's got a
better chance of tearing this off
without it
flicking up and whistling for the
patient as well there we go
we'll just take those pieces running be
able to the edge and there's the usual
may look a little bit grey so a lot of
this got sucked inside the machine so
you can actually see this is the
remnants of that large piece that came
out the second ear and this is in
inches and I shall see you tomorrow for
day eight of the twelve days of ear wax mass
you very much more snow veneer today if
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take care