hi everybody my name is Rhys barber I'm the audiologist here at audiology
associates thank you very much watching our video today if you've never come
across one of our videos before or if you haven't looked at the channel before
what we do here is post ear wax removal videos we post new ones every Tuesday
and every Friday so if you have any questions about the video that you are
about to watch then pop them into the comment section below and that way then
the most popular questions we can answer at the end of the week so enjoy the
video and I shall see you at the end hi everybody this is Rhys barber from
audiology associates thank you very much for watching our ear wax remova video
today this ladies come through with some quite dry hardened up ear wax a little bit
of discomfort in the ear as well so quite a feeling of almost like a
pressure sensation in the in the ear so we're using the standard sized Zoelner
tube here just to remove this ear wax so you can see it's quite dry on the outer part
here holding together quite well sometimes a little bit difficult to get
a grip on with the suction when it's this dry just wiggling it back and forth
trying to work this out of the the ear canal just held in with a little
bit of a little bit of dry skin it's not uncommon to get these kind of dry skin
issues with dry ear wax like this because it's part of the reason the ear wax stays
dry doesn't pick up as much of the oil from the ear canals if you've got quite
dry skin in there just trying to bend the ear wax forward so bring it down from the
top so that we can maybe look at getting behind it in a second
just wiggling it out trying to inch it out very very slowly maybe that's on its
way out you see a little bit of dry skin there see or folding into the end of the
suction machine there's the dry skin you can see this
attach to the ear canal wall so that ear wax wasn't coming out because that dry skin
was almost embedded in there it's quite difficult to remove that with a
suction tube it's quite noisy for the patients we're going to switch to the
Jobson horn just to break that dry skin away there's the ear drum you can see the
ear drum looks a little bit white you can see dull light reflex and a lot of blood
vessels come to the surface so a little bit pressure put onto the ear drum from
behind on this one which would account for what some of the fullness of
sensation a little bit of the discomfort they've been experiencing so this is the
same patient with the second ear now so you can see what quite dry ear wax on this
one as well when you see the eardrum pushing out like that or the blood
vessels come to the surface it means that something usually fluid is putting
pressure from behind and that fluid can be either sterile or it can be infected
when the eardrum looks white like that it tends to look as though it's maybe a
little bit of middle ear infection just starting to brew behind the eardrum in
the space there so this is a very dry crumbly ear wax now on this second ear so
we're using the Jobson horn to go in and take this ear wax away just breaking it away
piece by piece if you've watched a lot of our videos you'll know that when we
use the Jobson or we tend to like to use the jobson horne for a little bit and
then to go in and remove any of the more crumbly bits of ear wax that have broken
away by using the Jobson on just to tidy it up a little bit before we start
to use the horn again you can see the same problem here what I'm pulling down
there is a flap of dry skin again
you can see it's just pulling from all directions there so this is the culprit
of why this this ear wax has been holding in here you can see it just pushing
together there you'll see there's more dry ear wax caught behind this as well just
trying to get this this dry skin tends to be really tough to remove it
because it's usually really kind of anchored in there so just using the
Jobson horn to manoeuvre this out see it pulling down to the base of the ear canal
there look it's tough old stuff this
you can see we've pulled that flap of skin now out of the ear so we
can get to what's behind it which is a little bit more dry skin and a little
bit more dry ear wax so we're just gonna suction what we can get to there you
can see this little flap of dry skin hanging around the outside part of the
ear canal just gonna use the crocodile forceps know just to pull this out maybe
I can see just how long that that piece of dry skin was so that helps to get
that out of the way so that we can concentrate on what's behind it there we
go
you see it's almost like a pocket of dry skin that we're pulling away here just
starting to break away in the end of the crocodile forceps there
trying to find a little bit of an edge you can see that it's pulling away to
the side so just trying to get underneath that let's just start now
shear a little bit now that's still coming away so back to the zoellner
tube now
there we go we can see a little bit of skin underneath that blob of ear wax that we
just pulled away now we've removed that drier skin which has been holding
everything else into place it's quite easier than to go in okay now I wanted
to show you this ear drum you can see that we've got a really bulging ear drum
you can see the drum is distended very white all the blood vessels are at the
surface so this certainly looks like a middle ear infection so if this patient
doesn't get some antibiotic it's quite soon this ear drum is going to pop this
is what we were moved from the yes you can see a lot of dry flaky bits of ear wax
that's in centimeters and inches there whew thank you very much for watching
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