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 Reese
Bobby from audiology associates thank
you very much watching our ear wax removal
compilation video today so a compilation
of ear wax plugs removed from patient's
ears in this compilation this first
patient you can see has quite dry what
first appears to be a little bit crumbly
ear wax on the outsides have a brown in
color but as you start to get a grip on
it and start to tease this apart you can
see that there are little strands of
skin in here so I think this is rather
than be the ear wax plug this plug here is
actually a dry skin plug and you'll see
nice we get a grip on the base of it
here and start to lift you'll see the
whiter material then underneath which is
the the sort of the newer bits of skin
but as you can imagine as skin ages and
dries it goes this you can get this kind
of dry listless brownish color to it so
we're going to good grip with a
crocodile forceps here and as we pull
this away you can see that it is a piece
of skin and there we are there's the ear
drum behind or looking lovely and
healthy so when I tease this apart it
was actually one big layer of skin that
had wrapped around itself and really
hardened up but because he was a fair
size there's but three quarters of an
inch there so this is our second patient
in the compilation as you can see here
we've got a very dark dry ear wax big dent
in the middle so this is a this is a
classic q-tip user and you can see lots
of hairs embedded in this all this
technically because it's dry over the
hairs embedded and should biome together
really really well
introduced a little bit of olive oil in
here because we know this is gonna be
quite dry it's also quite you can see
thinly spread against the ear canal wall
there so it just means that you get
this it's a little bit more difficult to
remove it you're gonna have to peel it
away from the ear canal wall first of all
you can see we're trying to lift it here
from around the edges just trying to
peel it away you can see it's not really
budging this really tough old stuff so
we're gonna use the Jobson horn other
trick is here because you've got that
dent in the middle that that recess in
the middle we're gonna press the job's
not just in front of the recess to get a
good grip on this long flat piece at the
front and try and pull if we're lucky
the whole thing will move there we are
in one go doesn't always work out like
that but it's you know I love the tofu
all at first you'll get this this kind
of slide across this game so you can see
quite a long dark piece little bit of
the skin attached about the dry skin
there well thank you to everyone who's
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that'd be great so a centimeter and a
half there umm useless of this I don't
even know where that was just over half
a date took of the cola
okay so last patient in the compilation
you can see we've got some very soft ear wax
here at the entrance patient has been
using a bit of olive oil on here which
is why it's very soft here at the front
end we use olive oil quite regularly
because it does help this the the ear wax to
soften a little bit and to slide up the
ear canal quite easily but what's happened
here is the olive oil only softens when
it comes into contact with so the front
end of this ear wax we've got very soft
pieces which are stuck to the ear canal wall
which is what I'm peeling away here
using the standard sides on the tube but
behind that then you've got the section
of ear wax which the the oil hasn't got to
which is going to be a little bit
thicker and harder so you can see you've
got a grip on that there now just take
away this other piece here at the front
there we are because it's such a wide
plug and it's perfectly formed to the
shape of the ear canal with plugs like
this you need to clear what's in front
before you train slide it out if you've
got a smaller
you can get it past that there is not as
although it's not as a necessary to do
that but I'm just trying to work my way
around the edge on this plug just to
detach it from the ear canal wall first of
all so just lifting there we go you can
see it starting to move we're just
getting a slight Rock to the ear wax we're
able to rock it back and forth a little
bit there so I'm looking for any bit of
purchase on this ear wax at the moment what
I'm doing there moving it back and forth
is looking to see you know if the say
France is the right side starts moving
to the left doesn't any danoi
concentrate on the left side too and
stick a little bit more but as it is
it's sliding forward very delicate now
and bang it's got stuck you can't it
can't get through the entrance to the
ear canal though the ear wax is actually too
wide to fit out so I'm just gonna try
and break it down in the entrance to the
economic we can so just to try and take
little bits off and suction those out
try and make this plug a little bit
smaller if we can but you can see it's
mainly just kind of squishing it
together so we're gonna use the Jobson
horn just to get in here just get behind
it you'll see it start to pop out there
we go
on its way over to the ear canal there
we are so you can see quite a quite a
sizable little plug that work that one
there's the ear drum there looking
lovely and healthy we've got a couple
little dots of ear wax in here so this is
the fine end here just go clear in this
little valley at the front of the
entrance to there to the ear canal so just
helps sometimes to get a grip on that
with the phone end just using the back
of the fine end there just to just to
kind of poll this one piece out I've got
a little bit just a touch further in so
I've gone back to the standard Cezanne
or two minute just to grab this one just
peeling a little bit off the ear canal
here he goes perfect anyway I wouldn't
see the eardrums got a good like reflux
everything looks nice and healthy so
this is the same patient but their
second ear you can see now we've got
this very kind of mushy wet ear wax at the
entrance here up to about halfway up the
the ear canal and then you can see that see
the color difference that darker colored
ear wax there just above it with a slightly
older probably a little bit harder ear wax
there so we'll get rid of this soft
squishy stuff first you can see as that
gets it's all getting sucked inside the
that there's on a tube they're trying to
stay as close to the edge as we can
without kind of dragging it across the
skin of the ear canal which can be a little
bit uncomfortable you know I just don't
know lift you can see as we go so that
very first bit we started sectioning
which was very soft squishy mushy stuff
and then when we get in a little bit
further and you can start to see that
the ear wax moves slightly differently it's
got a little bit more structure to it so
you can see it's a little bit stickier
at this point now as we get this section
away now you can see like that piece is
held together so we're getting a chunk
out there now what's the consistency of
the ear wax so let's just get that out of
the you ear canal there we go
what's the consistency of the ear wax now as
we get to the next bit I watch how this
moves you'll see it starts to peel away
in kind of bigger pieces there we are
let's see we're starting to break pieces
off now so we'll just get rid of that
piece they got sucked into the zoellner tube
so as we start to lift then you'll see
that we get larger pieces moving so we
know we've hit that that tougher harder
ear wax this a little bit deeper in there we
go you can see the eardrum just over the
top of our ear wax as well so a long thin
plug there lovely let's take a look
behind that now is the eardrum there
looking nice and
Elfi a couple of little bits of ear wax
they're one of the best that can have
one to the right hand side so we're just
sticking with us the standard size on
the tube here hovering or trying to
hover just above the skin very
delicately just working our way along
this a little bit here this little bit
of ear wax we're taking away now isn't gonna
cause any problems with the day-to-day
hearing it's more just taking the way
for the sake of completeness really just
working on that's right ear canal wall here
we go
and there we are there's the eardrum
good like reflux you can see how dark
that ear wax is you're very old very dark so
up to about a centimetre half of the
first ear the remains then came from
the second was the long cloak from the
second just over into the half for the
first ear
you very much for watching our video
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take care