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 watch like you actually
move all compilation video today this is
the fourth day of the five districts of
videos so in this first patients here
you can see we've got some very soft
looking ear waxed boats in about halfway
down the ear canal so we're using the
standard size on the tube here because
it's very soft a lot of this is getting
sucked straight inside the machine this
works is a combination of ear wax and soft
skin that look so as you take this away
you'll see little white streaks coming
away after it that's dead skin that's
just sitting in the ear canal itself just
tidy up a little bit at the bottom there
you can see just how soft those we can
start see the eardrum now just lifting
from the ear canal walls there we go
last tiny piece there just scraping
along from back to Frank's we don't want
to lift this whole strip of skin up here
we go let's take a look at that there
it's a just a tiny bit just over that
little Ridge there just nip the top off
there we go that's that gone just a
little bit of dry skin gone there the
patch you can see the top left hand
colleges with a wet skin there so that
will come away on its own this is the
same patient but the second year so you
can see a vastly different type of ear wax
on this side this one's much drier much
harder ear wax here now this does happen in
patients sometimes and with lots of lots
of people get put in the comments
actually all white as the ear wax yo can you
get different types of ear wax your why do
people you're ear waxing muddy or not the
other well you can see you can get quite
big variations in the type of ear wax you
get in each year so as you can see this
is really dry it's not going to come
away with the suction tube just because
it's a little bit too solid and when it
dries like this it dries against the
ear canal walls
just gonna use the Jobson horn here
working down the side of the ear wax to peel
it off there you go peel it away from
the ear canal wall take some of that dry
dead skin away underneath as well you
can see these long flips flap so you
have dry skin coming away much harder
chunks further in as well
looks like we've got two separate
sections further in so we're gonna
concentrate this bottom one if we can't
get that out first we can see it's
flicking back up all the time so we're
gonna work underneath it now just to try
and leave her off the ear canal wall first
of all and you've got this long dry
piece of skin here at the entrance we'll
just attach that source just by rubbing
the jobs in horn across the skin at the
back and just attach is that so that's
gone because we've got that lifted up
section now we can get the job at the
crocodile forceps underneath now here we
are just got a good grip on that the
section a bit further in this well trace
for the crocodile forceps as well just
judging the gap we need to give there we
go you can see a little bit dropped away
when using the crocodile forceps it's
very it's a fine art to know how much
pressure to put on the ear wax too much
pressure and you'll split it and crumble
it too literally you're not going to
hold onto it very well so there we go
got that section coming away nicely
there now a little bit of dry flakes at
the entrance to the ear canal here so we'll
just use the Jobson horn do a little bit
of tidying up something on this top edge
here just breaking those few dry pieces
away oh that's gone
it's a little bit of dry skin here at
the base so we're just flicking that
away and I'll just get almost got behind
that little bit of dry ear wax as well so
I'll take both those away at the same
time there we go as we're doing that
we're emptying a lot into the bowl of
the ER there so we're just going to take
that it's difficult to pick the reason
we do that it's difficult to hold on to
these pieces of dry skin and ear wax using
something like a Jobson horns you just
drop it in so you can see very light in
color
that father's left pieces the soft ear wax
and then the pieces for about half an
inch onwards there are the drier pieces
we took over the second year so this is
our second patient in the compilation
today you can see we've got quite a
large chunk of ear wax in this year there's
a couple of gaps at the front there but
when you look through the gap you can
see the ear wax actually widens further into
the ear canal so really blocking this
patient up standard says all the tube
here then trying to get a grip on the
base here lifting from the bottom you
can see that the bottom section he was
actually resting against the ear canal wall
so it's gonna dry or stick to the ear canal
walls we need to detach that bit first
which is what I'm doing here by just
lifting and moving this around got a
good gap now at the top so big enough so
we can get the jobs and horn in safely
just gonna press down as close to the
rear as I can but not too far in
obviously we don't want to cause any
damage by pushing in blindly so we're
just aiming for gaps and just resting on
top of the ear wax because the whole thing
that was moving forwards towards the
front of the ear canal it's starting to
rather than come out as one piece it's
starting to fold over on itself a little
bit so between a little bit further back
again bring this forwards on its way
there we go it's coming around the
corner now they go back in just to give
it a bit of a helping hand there we are
you can see a nice big
soft ear wax there it's a little bit more to
come away just using a little bit of
suction just to tidy up this front end
here I'll see if we can lift this piece
off the bottom this is the bit I was
saying that was really stuck to the
ear canal wall will you lift it like you'll
see just how much was actually stuck
there doesn't look like a lot when you
first look in but when you take it out
and start peeling it off the ear canal wall
you can see just how much ear wax sometimes
hides in that entrance there so got a
good grips wiggling it back and forth
now here comes here we are see it was
quite a substantial chunk left down in
there as well so they could look at that
tram here we are
so this is what we removed you can see
all from one year so quite a quite a
fair bit it's three centimetres there
I'm gonna go for it into the quarter for
that one there's a new to the quarter
there you very much fortunate video
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take care