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 earwax removal video today
there's just one patient in this video
this lady came to the clinic she's got
quite a lot of very soft earwax in
her one year here so causing quite a bit
of reduced hearing the reason that the
earwax is so soft it looks far more liquid
than you normally see in our videos
ladies been using some drops just to
soften this up and what's happened is
it's kind of gone a bit too soft so the
earwax has become almost not quite a liquid
but a very mushy thin consistency so
what we're doing here is using the
standard size on the tube just to clear
clear down the ear canal we're sticking to
the right hand side it becomes very
difficult to gauge to ear anatomy when
the earwax is this mushy because it sticks
all along the ear canal walls so it's very
difficult to tell where the earwax ends and
the ear canal wall begins so you're always a
little bit more cautious with this type
of this type of earwax removal just
because it's very easy to push too hard
with the microsuction tube and actually sort
of dig into the ear canal wall which is
obviously gonna end up causing quite a
bit just discomfort for the patient so
I'm sticking to the right side because
that ear canal was a little bit clearer I
just helped me to clear away down late
but if we clear enough of this soft ear
earwax it means that it's going to be
easier for me to clear that left hand
side and it'll give me a good idea of
bends and twists in the ear canal so as
you can see we're quite deep already so
just such then trying to get down to get
a glimpse of the eardrum basically so
you can see all that earwax is getting
sucked into the machine here just trying
to get a grip on this base section
of earwax stick this with this one guys I
know it seems quite there's a lot of
whites getting sucked inside the machine
it's not very interesting to look at at
the moment but you'll see in a second
that we get quite deep
down into the ear canal and this soft earwax
has completely covered the eardrum so
it's stuck all over the drum all over
the ear canal walls just basically
everywhere it really shouldn't be so
just very cautiously microsuctioning a little
bit deeper in the ear canal then I we're
just starting to see her first glimpse
of the eardrum there to the left-hand
side a blueish patch or ember of circle
on here so you can see it that's the
first step that's the first glimpse
we've had of the eardrum so far so as
you can see that we're starting to work
down the left-hand side of the ear canal so
we've gauged the distance down to the
drum because we can start to see the
eardrum so now what we're gonna do is
try and very slowly take away some of
the earwax here to the left-hand side just
switch to a fine end because we can see
we've got that gap though the drum
there's a lot of earwax to the right-hand
side of it and to the base of the ear canal
as well so sometimes I mean for microsuction
the ideal for us would be a slightly
harder consistency of earwax just makes it
easier to it to remove but when
someone's being you know when they've
quite desperate that people will put
lots of drops and lots of different
concoctions in their ears to try and
loosen up because they get really
desperate they really want to hear
better and it's not a nice sensation so
I told this patient to go away for a
week and let this earwax dry out because I
couldn't get it off the drum it would
have been too dangerous now this is the
patience here one week later so whereas
before you could see lots of very messy
liquid earwax what you'll see now is that
earwax has started to dry and start to the
harden up so we're also all that earwax was
covered on the left-hand side of the ear
ear canal wall can you see now it's formed a
much more solid nature to that ear wax has
actually peeled away from the ear canal wall
by itself so that's all we did was told
this lady just not for anything in the
rears just go away for a week come back
a week later which is gonna make this
ear wax a lot easier to remove
now we still have the ear wax stuck to the
eardrum but now what's happened is it's
formed a much harder plate so what
you'll see as we start manoeuvring this
deep ear waxy were working on at the moment
you'll start to see it in a second peel
away from the drum whereas before we
would have to work on the drum for a
long period of time you know literally
taking very soft ear wax off it what we can
do now is because the ear wax is hardened
and kind of congeal together a little
bit it just means that this is a far
easier piece of ear wax to work with but
just starting to see the top of the ear
drum above this block of ear wax now just
slowly pulling from the top right corner
just clearing that little bit of ear wax
stuck at the end of the tube out there
okay there now we can start to see the
ear drum they lit to the left-hand side
underneath this underneath this hard ear wax
here so the ear wax that actually would
completely cover the ear drum so we're
still covering the ear drum but it just
means we've got a better chance of
getting this off more comfortably for
the patient than lots of short clearing
of that thinner
mushy ear wax we can actually peel this
away so you can see it's actually coming
away in strips there now a little bit
here to the right-hand side
- to get some way from the left hand
side you can see it's still quite a bit
there but this block here to the right
is really firmly wedged in there you can
see we're trying different angles to try
and loosen it out we've got a nice piece
here to the left hand side this peeling
away really well now sometimes we're
lucky and if we get a grip on this with
a crocodile forceps then we can peel the
whole thing away in one piece just
trying to get a grip a little soft bit
of ear wax here at the base of the ear canal
which is just flicking up into view
every so often say we've got a grip on
this now we're peeling the left side
away you can see Jess broke
way I'm gonna clear that soft bit of ear wax
out the way it says it's just a bit
annoying so we'll get rid of that and
you can see we're gonna be microsuctioning
from the front to the back of their
ear canal here because you've got this
little lift that's just started there
there you go now that I think is
connected to the piece that's sitting on
the eardrum so I'm what think if we can
get a nice a nice run with that piece I
think the whole thing's going to come
away so I'm just check-in the left-hand
side of it with a microsuction a minute just
to see if we can get a bit there now we
start to see at the left side lifting
there now you can see it's all connected
together so just gonna use the crocodile
forceps to get a grip on this section
and lift there you go you can just start
to see it peeling away now off the ear canal
wall at the base there it's going now
see if we can grab that little curl that
flicked up was repealed that last piece
away yeah let's go to that unfortunately
it didn't take the section to the
right-hand side of the drum away which
is still quite hardened up but we've
cleared all of that left-hand side now
so I'm just going to work to try and
work this hard or ear wax out from this
little groove to the right-hand side
you can see that little rays there at
the base it's not quite enough to get
the microsuction tube under so just keep
working this little block there we go
see all peeling away all coming away
nicely see I told you as we're sticking
to it and then when we take a look
afterwards there we are we can see the
eardrum there it's a couple little
flakes of dry skin
the little brown dots you can see are
actually remnants of the oil be really
uncomfortable to remove those and
they'll come out with baths and showers
and that's why we remove guys
thank you very much for watching our
video today if you did enjoy the video
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take care