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 now you ear wax removal
compilation video today so the first
patient now compilation here has some
very hard dry quite large plugs of ear wax
in both ears so really having a lot of
reduced hearing not really having any
discomfort these are going to form
perfectly to the shape of the ear canal wall
so not really pressing against the ear canal
walls as as some of the hard pieces of
ear wax do so using the standard size on the
tube here just to lift the base of this
piece of ear wax off the ear canal just trying
to unstick this front section here that
way then it should allow us to start to
move this piece of ear wax in one piece if
we can so you can see the front end of
the ear wax is quite hard but underneath you
can see the ear wax is a little bit softer
and there so there was a dry skin there
as well which is what's helped to anchor
this into place so just aiming for the
bottom of the ear wax they just lifting up
slightly that helps to detach you can
see now go a little bit of a gap
underneath so that's to attach the front
front end there from the ear canal wall so
now we're going to pull down from this
top left corner and top right that's
going to allow us to break away some of
the adhesion there and now you can start
to see there's a little bit of movement
to this ear wax
there we go it's on its way out so what
I'm doing is we're bringing out here is
trained to maintain the suction grip
just wiggling up and down which helps to
maneuver it down the ear canal wall so it
stops it from resting and sticking in
place now obviously as we get a grip on
the outside edge here we're going to
need to guide this out of the ear canal so
what you'll see is as I pull forwards
because it's quite a long piece of ear wax
and it's still coming out of the ear
there it will rest against the the outer
section of the ear here so I'm just
going to shift position slightly this
will give you a better view and then
we're going to hold on to the top of the
ear wax which is quite smooth and quite soft
use that to gently maneuver this out of
the ear canal now while it's still moving
with the suction we're not going to opt
to put the jobs in horn in yet because
we are still getting some movement here
and because it's perfectly formed to the
shape of that entrance to the ear canal wall
though is really blocking it up so what
I don't want to do is now we've got a
bit of movement to this and we've
actually brought this ear wax out to push a
jobs in horn in and actually push it
further in but you can start to see now
it's just millimeter by millimeter
working its way out of this ear canal just
maintaining that kind of wiggling motion
because the outer section here though
it's soft it will be quite sticky and
tacky so it just means that we can get
this out without it sticking too much to
the ear canal walls there we go you can see
was quite a long piece that one very
dark in colour so very old and dry ear wax
we've got a little bit of dry ear wax here
stuck to the top of the ear canal wall so
we'll just get the patient to tilt the
head over slightly which gives us a
better angle than to get this section
here fine end is going on because we're
gonna be working really close to the
ear canal wall to get rid of this yes slowly
creeping our way down it's got a grip on
the outside edge there taking some of
that dry skin away you can see the
dryness of the skin in here it's just
peeling away there we are just lifted
that flap down so let's pull the rest of
the way there we go
there's the eardrum there a couple
little hairs in there from hair cuts
they will come away with Barton's show
us those so you can see this is the same
patient now but with the the second ear
very similar looking a piece of ear wax but
it does look see like lighter Ridge
there does look at is a little bit of
wetter softer ear wax underneath which is
what gives it that lighter appearance
and you'll see as we go the griffin in
here with the suction that as we lift
you can see there's a little bit more
flexibility to the ear wax here so it's not
quite as tough and hardened up as the
other side was and you can see where
that lighter Ridge look is bending it's
much much softer that of a ear wax so I'm
moving that across so that I can get to
a harder darker piece of ear wax here
good grip there we go there's the grip
we needed just shifting position so you
can get a better view of this coming out
there we are just wiggling pressing up
and down from the top here slowly
coaxing this ear wax out of the ear canal here
we are just there we go you can see a
couple little later patches that's dry
skin that's imbedded into that ear wax there
and come away nicely
there's the eardrum looking lovely and
shiny and healthy so this is what we
removed you can see we've got altogether
more just under three centimetres worth
and you go just about an inch and a
quarter if you put both together so up
half an inch each those you know just
over half an inch each those those
pieces so this next patient then this
was quite an interesting one we took a
look in this ear canal what I could see
originally was a little Ridge of dry
skin you can see you drum there there is
some what appears to be some scarring on
the ear drum patient has had quite a
history of ear nose and throat problems
over the ears so not unusual to see
scarring so we're going to just take
away this Ridge of dry skin here you can
see who actually picked up a little
flake as we've got into the ear canal
because we're using the fine end I'm
just gonna take that flake off we did
clear another little piece out the other
side just quickly before we did this one
which is why there's a little bit of
soft soft ear wax at the entrance on this
fine end but you can see as we left
you'll see the whole piece of skin lifts
up there you go so we're just going to
detach that now take that away and then
there's quite a large flake of dry skin
here at the entrance to the ear canals we'll
just take that away as well
there we are now we can go ahead now and
take a good look at this ear drum now I
can see there's a little bit of dead
skin here to the left side another
little flake of skin just going from the
camera there so we're gonna lift this
section up here and key see how it peels
away from the ear canal walls so we can see
we've got quite a bit of dead skin
around that eardrum
okay certainly on the ear canal walls
possibly going across the top of the
drum as well as we pull you can see it
starts to lift look across the top of
the ear canal and across the top of the
eardrum so we're just going to get rid
of this other little loose bit of skin
here at the bottom of the ear canal let's
get rid of that piece there we go
so what we're gonna do now is aim for
this top section here now when you get a
good look at it sometimes you can get
what they call a retraction pocket which
forms in this top section but I don't
think we're looking at a retraction
pocket I think this is a lot of dead
skin that's clustered into a circle
which is then formed a little
indentation so just go gently a touch on
this piece now just to see if we get
some flexion yes we do so it's
definitely not there a retraction pocket
this is definitely skin so you can see
as we lift down there we go you can see
it's starting to peel away now from that
right side of the ear canal wall there it
goes peeling down the ear canal just across
the top of the edge where you can see a
little flappers lifted this we know this
is loose skin here so what I'm going to
do is to get the patient to tilt over a
little bit which is going to give us a
much better angle to get to this top
section of skin just there so we should
be able to get that now into the suction
there we go
as we pull down can you see it peeling a
layer off that eardrums just starting to
come we've peeled that rights
SRU from right to left across the top of
the eardrum there we've still got that
little bit of loose skin here to the top
right corner so let's go that you could
see the whole thing move then there you
go it's peeled off the top of the hammer
bone there you can see some dead skin
there to the right side being pulled
along with it so we'll take all of that
away
there we go that's peeled across the
drum down into that Valley that's coming
away now so we've just got this large
flap now of skin that's still connected
at the base of the drum so we'll just
peel that away there we go
so that whole thing was covering the ear
drum we'll just take a good look in
there you can see now that you can see
the Sheen you can it there's still a bit
of scarring on here and the ear drum
itself a little bit retract
because you can see that the tip of the
hammer bone they're just poking through
a little bit more prominently than
normally would do so we're just gonna
tidy up a little bit in here yeah you'll
see the top mark at the top of that
hammer bone there for you and this is
what we removed so you can see their
long thin flaps of skin coming away
there but patient much happier after
that you very much fortunate with you
today if you did enjoy the video then
please like if you not subscribe to idea
you'd like to do so you can click the
subscribe button here if you'd like to
check out some more videos there also up
there now if you want to follow us you
can do on Facebook Twitter Instagram and
also check our website if you want to
know a little bit more about us there's
always guys until the next time take
care