hey everybody this is Rhys barber from
audiology associates thank you very
much for watching my video today well we
have a new access matching being from
you this gentleman is growing problem
for those years for the 20 years never
really how these years you know before
but has been using a clock so base drop
you can see look bubbles all over at the
left hand side there in the face of the
ear canal where the peroxide is bubbled
through some of the ear wax because he's
never really had his ears cleaned and
just you've drops there's gonna be quite
a bit of ear wax in here just hanging around
this think he's quite sticky because the
peroxide will try and melt the ear wax or or
liquefy it to a certain degree but
because it's never been cleaned out
there my ear wax will just harden back up so
if it's at least sticky consistency to
it so we're using a standard Cezanne
with the stocks are feeling rid of a
softer material around the outside edge
and also to pull the outside part of the
ear wax into the centre of the block the
reason I'm doing that is I'm trying to
unstick it from the ear canal wall so
sometimes we call here so there you did
where it's adhering to the Tamar wall
then we go ear wax out so you'll see every
so often I'll stop and just put a little
bit of pressure on the ear wax and just move
that the section to back and forth just
to see if we can get it all out in one
big chunk this looks like it's been lost
people ask me about peroxide and why we
use olive oil rather than Fox a first on
the eggplant will use the peroxide it
can really liquefy the ear wax and the ear wax
ends up in all the places it really
shouldn't be which is more uncomfortable
you can still remove it but it's more
uncomfortable for the patient
whereas when it's a harder block as this
is then it's a lot easier to take those
olive olives in the hard block using the
Jobson horn just going over the top of
the ear wax they're in very gentle try not
touch the ear canal walls on cause this
patient in discomfort just pulling
downwards and forwards but the ear wax is so
sticky it's just breaking parts away so
let's take this out one chump in the
time of the Crocs out on the camera is
really a lot yeah you can see the the
only way to do this is to go above the
ear wax get behind it and then maneuver it
forwards
the darkness of total movement for years
from oxidizing here on the right side of
the ear canal wormhole
I personally prefer to use the suction
tube when I'm going deeper because it's
less painful for patient this type of
procedure where it's loose you notice
we're not touching the ear canal wall we're
working along the ear canal and lifting into
the center because there's no obvious
gap at the top and they are a lot deeper
in the ear canal you can ask far more sense
of it at this point so if you go in with
a jobs and horn and go over the top of
it you can just touch on the ear canal walls
can be quite uncomfortable for the
patient so I'm just working away a bit
of olive oil in yeah what I'm going to
do now is Jamie just move over the ear wax
allowing the result of work its way down
the site of this plug you're doing
trying to take this out in one piece so
just lifting allowing the ear wax or oil to
work as we've done the side of the ear wax
and again pulling into the center and
sticking from the ear canal walls I
understand he's walking just going as
you see there's a little bit of movement
you can see the ear wax is starting now to
move so I really don't want to use a job
some horn if I can help it this deep in
the ear canal if it's just broken the way to
get rid of first of all just working on
different areas of the white see if we
can rock it back and forth and up and
down just to allow us to free this block
up just the end of it and you can see
we're just having a little bit more
movement now so the others work this way
down the side and as we're moving back
and forth where I'm sticking the deeper
parts of ear wax
the fever of patients at this point just
weaving back and forth just playing
different areas of the ear wax I'll just
dance a little bit of forward momentum
that and just get married off just on
the roll
oh yeah and sticking now so there we go
just start my work as we don't become
out always been its job you see the
glitter you got behind this right no
this is one block now it's stuck on the
entrance there yeah
nice so or like you're nice and healthy
and little bit dragging us to the speed
of it this is what we were losing to a
large plugins about centimeter across
all very dark well thank you again guys
for watching our video today and if you
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