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 for watching our new
action move or compilation video today
so we've got two patients in this
compilation you can see this first
patient has a very deep-seated dark dry
ear wax you can see this sort of pronounced
Ridge at the top of the ear wax there so I'm
going to start off by using the forcep
sometimes if the ear wax is hard enough when
you get hold of these little ridges
it'll pull the ear wax out but it looks a
little bit on the soft side so as I'm
gripping it what you'll see is it
actually just pulls a chunk from the
centre that Ridge away it does move it
slightly so there is a little bit of
rigidity there
it's just folded the ear wax forwards in the
ear canal so we can get above it now with
the Jobson horn you can see the little
white bit to the rear there that's
actually bits of skin just actually get
a really good grip behind that ear wax now
so just pressing into the centre to see
if we can draw this plug of ear wax down the
ear canal you can see it's very thick and
sticky a little bit dry as well there we
go I've taken that front section away
now you can see there's more behind so
we're just gonna see if we can get
behind that section you can see the
motion will be pushed down into the ear wax
and bring forwards just a manoeuvre it
down the ear canal maybe I've got the more
soft ear wax sitting behind that harder
front section so this was one big plug
but we broke it in half on the way down
get a good look at it you can see all
that skin material around the outside
edge there's the ear drum a little bit
red across the hammer bone there at the
top so you can see the blood vessels
will come to the surface now this is
classic q-tip use really deep indented
ear wax in the centre they're much thinner
ear wax around in that so same thing again
we've got that little Ridge at the top
which you get a lot when you patients
been using it be using q-tips there so
we're just going to go over the top try
and hold onto this wife does look a
little bit harder so we make
the movement depends on firmly touched
it is on the ear canal walls to the side so
I'm just working my way to the side
there you can see just tall that section
away there now we've created the gap
again or a larger gap I should say we
can go in with the Jobson horn just very
gently pushing down on this whack so we
can see how far down now you hear me
talk about not using the Jobson horn too
deep the reason for that if you look at
this ear wax you can see the ear wax goes all
the way down against the eardrum this is
where I'm not a great fan of using the
Jobson horn when you haven't got a clear
visual to the rear of the ear wax but what
I'm doing here is I'm putting pressure
on the top and pulling the ear wax towards
me so I'm trying to move it away from
the eardrum if we possibly can I can see
this is a little tiny gap would be very
gentle here just trying to tease this
away but you can see I'm struggling to
get behind that last section because
it's so close to the eardrum so I'm
going to go down the side here and move
off the ear canal wall to the side because
you can see the very dry nature to this
ear wax if we can lift it far enough off the
ear canal wall and detach it there from the
front we could get a good grip then on
that side piece just there gonna hold on
give it a good tug now that's gonna be
pulling the rear section hopefully away
as well from the eardrum there we are
you can see if slow this down again and
that people are quite liking the slow
motion so we're gonna stick with that
you can see that really dry dented piece
of ear wax there eardrum looks good there's
a slight bit of the light reflex missing
there indicating a bit pulled in so you
can see the size of these plugs that we
pulled away this or the central section
there that's the first ear the piece to
the left-hand side that's what came up
to the second ear but you can see all
the bits we broke away so quite large
pieces they're coming away and very dark
chestnut brown in colour so a little bit
older as well second patient now in the
compilation you can see we've got some
very soft ear wax here a little bit of oil
around the outside edge which is what's
giving it that nice Sheen you can just
about see the top of the eardrum there
just over the top of this ear wax so let's
get a good grip
see if we can use the suction tube just
to peel this off the ear canal wall first of
all there we go and train to lift so
that we pull down on this ear wax as well as
we're lifting really trying to get a
good grip on there so slow this down a
bit so you can actually see what we're
doing in the ear canal there we are you can
see it's peeled off that left ear canal wall
now and the ear wax has actually started to
turn so it's broken this front section
away there we go let's have a good look
behind that now there we are we can see
a deeper central section as we get a
griffon you see all that the oil gets
sucked off the surface and you can see
just how dry that ear wax is it's really
hardened up bound together by lots of
little tiny hairs from hair trims in the
ear canal really trying to get a grip
here looking for any movement to this
way so you can see there's a very small
amount of movement back and forth there
but as we do that broker a front section
of the ear wax away so it's broken this
central portion where you can see the
dent in the middle that just came out so
we're gonna try again now see if we can
get a little bit of movement to this ear wax
pushing back and forth it's not really
giving us a tremendous amount of
movement there we've got a grip on some
of the section at the top there as well
as pulling from the top left could say
to the ear canal wall there we are we can
see it starting to flex and Bend a
little bit there so the crocodile
forceps are going to come into play now
we've got this Ridge with the central
deep section the middle layer so let's
see if let's see if we can get some
movement it does look like a kind of
clamps but yes she is through just she
is through so we're gonna use the Jobson
horn now I'm gonna aim for that central
dip and see if we can pull around to the
side I'm gonna press into the ear wax
slightly and see if we can pull it now
you can see the whole thing there we go
there it starts to move so as we've got
a grip on that
section the whole thing started to pull
out so you can see I'm struggling now
got it to the outer part of the ear
ear canal but the section I was pulling or
pulling along as I actually flattened
out so it means I can't get a good grip
without causing the patient discomfort
now so now we're gonna aim above the ear wax
which we can do safely because we
brought it down the ear canal so as I'm
getting behind the ear wax it's actually
spinning and turning there we go we've
got a good grip there now so we start
the pull out we'll find the central
section will collapse in now there we go
you can see the ear wax was out a little bit
looser so attempt sometimes when it's
held in by the ear canal it holds its shape
but as you bring it to the older part
you can under it it is able to move
outward so it you get this collapsing of
the central section which is what we had
there but you can see this still coming
this boat so we're gonna get behind it
now crashed into the camera on the way
out there we go it's out you can see
it's just sort of all spread apart
there's a little bit more left in there
you can see a little bit of skin that's
been holding this in see there so just
going to break that away now and it's on
its way there we go we've got the last
of it out of the ear canal there so I've
picked up I'll show you that now in a
second we can see the eardrum there ear
ear canal now is clear
we've got a little bit around the
entrance here so we're just gonna tidy
up just a little bit there most of this
is that sort of skin material here so
we're just gonna use the suction
sometimes this will come away right very
well with suction sometimes we have to
use the Jobson horn if we can use the
edge of the suction there we go just to
break it off we can that's perfect and
there's the eardrum
so second ear of the same patient now
you can see a very similar story here
but the ear wax itself is much closer to the
outer section of the ear canal so well
just get rid of this a little blob at
the front here because it's gonna
obscure our view let's have a little
scrape along the ear wax you can see it's
dry so Jobson horns the best thing here
is right at the entrance to the ear canal
perfect for the jobs in horn
so we're gonna go in just over the top
of the ear wax press downward pressure and
forwards my met forward momentum there
it is
Doug get into the ear wax just starting to
pull forward well thank you for all your
well wishes while I was feeling it and
well and being loads better no thang is
the first date since Christmas I've
actually felt on top form so thank you
for that you can see it came out with a
nice big chunk really kind of like a
ball of ear wax so we're just gonna try and
pick it up with the Jobson horn here we
go and at the entrance there you'll see
can you see this kind of Ripley skin
you've got further in oh that's a really
good indication that the patient's top
layer of skin is starting to detach
there a little bit so what I'm going to
do is I'm gonna use of jobs and know you
can see me smooth and this out because
the skin actually concertinas up at the
entrance it happens with some people you
can get unfortunately get these all sort
of dry patches and then you get this
detachment of the skin layers but you
often see this kind of Ripley effect in
there when that happens so there's the
eardrum you can see a little bit the light
reflex missing loads of colds and things
doing the rounds down here so that makes
perfect sense look at the size of those
plugs it's almost 2 centimetres that one
the other one there was probably about
3/4 of a centimetre so there we are
but 3/4 of an inch for the first one I'm
gonna go about a third there's a third
of an inch of thing thank you very much
for watching our video today if you did
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until the next time take care