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 ie ear wax removal
compilation video today we've got three
patients in this compilation you can see
this first patients ear wax is very dark in
color it's quite hardened up got a
little smudge or ear wax on the screen there
we'll clear that off in a second but
what we're going to do here first of all
is triangular grip on this ear wax using the
standard size on the tube the way we do
that is we rest there's on the tube on
top of the ear wax try and build a bit of a
suction grip here now when the ear wax is
hardened and a little bit kind of
knobbly on the top on the surface here
it's sometimes difficult to maintain a
really good suction grip you'll get
enough just to move the whole block
forwards but not quite enough to hold on
to the ear wax to bring it out of the ear canal
I just give the camera a quick clean
which gives you a clearer view there now
so I'm just aiming for this nobly bit
here on the left hand side trying to
hold on to that and see if we can
maintain the section enough to bring
this block out of the ear canal but as you
can see it's quite a solid little block
and it doesn't seem to be holding on
very well so we'll switch now to use the
Jobson horn now we've brought it out
it's we can get behind this safely and
more effectively so just getting behind
that block bringing it out there we go
it's just starting to come out I think
it flicks and hits the camera in a
second there you go so nice to get out
that over the ear we'll take a quick
look behind them you can see a nice
shiny ear drum there so I'll just show
you the block that we remove so you can
see this little plug here it's a
centimeter across very dark in color
very old ear wax this one and just under
half an inch yeah I need a better ruler
it's just under half an inch okay so
this is the second patient no
compilation you can see very dark dry
looking ear wax again here little light
patch there we're going to introduce a
little bit of olive oil in here which is
going to do two things helped me to
maintain a grip
because you just don't see estas
reflects up from the ear canal wall so we're
just getting rid of the softer bits from
the outside edge first what I'm
effectively doing is breaking away all
the adhesion around the outside part of
this ear wax blockage so we can fold it into
the ear canal a little bit more if we try
and pull that central section away now
well this little bit stuck at the bottom
here that's all its gonna do is it's
gonna push against that which is gonna
make that stick even further so I'm
trying to loosen work around the outside
edges just slowly pull into the center
until I start to see a little bit of
movement to the ear wax
yes lifting that you can see just all
the softer sections are on the outside
edge is just starting to fold into the
center got some movement to the surface
but not a great deal of movement to the
actual block itself you can see you got
a much bigger lip there lifting away now
as we're doing this you all have always
spreading there's no standard work its
way down the side of the ear wax between
that ear wax and the ear canal wall itself still
looking for a little bit of movement not
quite there yet there we go now can you
start to see the whole things that there
we go you can start see the whole thing
starts well that's what we're looking
for that's what we know we've managed to
attach it enough to get it moving just
broke the front end off there you can
see as we took that away there's a
little lip of dry skin underneath which
is probably holding this together giving
you this structure there we go there now
we're starting to see some movement just
bending this back in again
slowly trying to maintain I've got
little Wiggles it's coming away really
freely now you see how smooth the
underside is there as it comes away so
there we are there's the block let's
take a look behind that very small piece
of ear wax here up to the right corner so
we're just going to very gently take
this away obviously being very mindful
of the patient's ear canal wall here
slowly coming not quite difficult cuz
it's angling away from the suction tube
and you've got that prominent piece
they're sitting at the top left-hand
corner I want to push this back too far
otherwise it's going to touching on that
eardrum there we go there we go quite
firmly stuck to that ear canal wall there on
that one side but the eardrum looks
lovely and healthy really shiny so you
can see that the large block was up to a
centimeter and then ticks up to a
centimeter and a half then with a
smaller block into the quarter I go into
the quarter on there there you go okay
last patient in the compilation now very
soft ear wax here at the entrance to the
ear canal you can see it's really softened
up just going to use the standard
Cezanne or two to start sucking this ear wax
away now while I'm just working out
thank you so much for everybody who
followed us on Instagram missus be super
chuffed really pleased it's got past a
1500 mark so thank you so much if you
follow us over there as well and gs
lifting that a bit of dry skin there we
go see it coming with a little bit of
dry skin there there you go let's see
what's going on behind that now you can
still see it's a bit of wet ear wax further
in peel this top layer of skin and ear wax
down now let's get rid of that they see
the whole thing is coming forwards now
get a grip on the top take that bit away
look at this long tale of dry skin
that's hurt so look at that just a comic
effect and just got a few little bits
here that we need to clear wait the
entrance so you can see that long strip
of skin there with this patients be
using a lot of olive oil
that's skins to the hard notes we can
quit floppies as you take it away you
could see it wiggling around but the
dullness to the ear drum there the ear
drum has a kind of a bluish tinge to it
this that we're missing the light
reflexes which is what you sort of cone
of light you see on the last two
patients
means that there's a little bit of fluid
behind the eardrum or that the patient
or that the ear oh I'm sorry is not
sitting in its normal position both of
those conditions are quite common in
these winter months with colds during
the rounds
so there we are you can see what we
remove so the first section look at that
long strip of skin that comes off that
we add a little bit of ear wax there yeah it
was quite quite a sight so I want to do
that one
you very much for watching our video
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take care