hi everybody this is rhys barber from
audiology associates thanks very much
for watching our ear wax removal
compilation video today
i've got two patients in this
compilation video so you can see this
first patient here
very blocked up in this particular ear
canal i've got the standard size zoellner
tube in here so we're just working this
piece of ear wax down the canal
if you do enjoy skin ribbons guys make
sure you stay tuned for the second
patient as well
so you can see we've got a good grip on
the outside part of this ear canal we're
just
loosening it from the canal walls there
we are
it's quite a solid little plug this one
though so as we're moving this down
you can see these tiny tiny fine little
hairs now they come up in the comments
section
from the video on wednesday last week
you do tend to get a lot of these little
ones in some people will trim their ear
hairs and that's where these little
teeny-weeny
hairs will come from so you can see i've
got it to the outer part of the ear
canal it's not
really budging particularly well it's
wedged in there
so we're just going to see if we can
wiggle this free using the suction tube
trying to pull down from the top
basically it's stuck on this very top
section here
so i'm just trying to work this out
we've got a bit of a wiggle going there
we are
starting to move we've got a good grip
out this pops you can see those little
hairs coming off the front there
quite a thick plug that one and we'll
take a look behind it you can see we've
actually got another little section just
behind that so we're going to grab hold
of that one
and we're going to draw this down
sometimes those little hairs that are
embedded in there will actually bind the
ear wax together so when you get a good grip
on the front section it will bring the
rear section away as well
but in this case it just sheared off you
can see quite a long little plug that
one
very dark in color which means it's very
old
if we take a look behind that we've got
another little blob of ear wax on the base
of the canal
we're just going to tidy this up a
little bit of hoovering up here at the
entrance
there we go it's little bits of dry
skin you could see coming away with it
as well
we'll take a look behind that now there
we are there's the eardrum
a little bit drawn in that eardrum now
there is a good light reflex there it
looks quite dull but it is
just a tiny little bit drawn in you can
see here these are the
plugs we removed so
it comes up too a centimeter and a half
five eighths of an inch i'm gonna i've
got an easy read ruler and i still can't
do it
five eighths are an inch there as well
guys its very dark which means they're
quite old as well those little bits of
little bits of ear wax there
oh a couple of people commented about
the the numbers and letters in the
middle of the screen
because we keep getting our videos
copied and stolen all the time
it's really hard for us to report it
which is why the numbers appear it's
almost like a little copyright thing so
this is the patient i wanted to show you
this is the second patient in this
compilation
patients come through very very blocked
up ear canal here
you can see the entrance you can see
the ear wax there
we have to sit just behind the little
cilia on the outer part of the ear at
the moment
we will go a little bit further in it's
tough old stuff so we're going to go
straight in with the jobson Horne you know
it's a tough one when we have to go
straight in with the jobson
we're going to sneak over the top of
this piece of ear wax here just
draw down and as we pull this forward
you can see the ear wax is so tough that
it's actually just
folded that top section down rather than
actually pull the ear wax out
but we're loosening this breaking it up
now with the jobson horn
there we are pulling this away look at
that you can see this
husk of dry skin around the
outside edge that's what this is here
so we're going to push into the side of it
draw this down
but it's just unfolding more of the skin
out
and as we pull this now there you go i'm
trying to pull that section but look
it's still
going into the ear canal further back so
we've got a bit of a skin ribbon here
which is what we could see right at the
entrance to the canal
crocodile forceps on top of that to take
that away unfortunately just sheared off
but there's more skin behind which is
what you can see here
so let's get a good grip on this with
the forceps very slow
gentle pressure try not to tear it there
we are look at it still coming away from
the canal wall there i love a good skin
ribbon
so you can see it's all starting to come
away really nicely drawing that next
section
forwards i'm trying not to clamp onto
the cilia because i would be quite
uncomfortable pulling that out of
Someones ear
there we are and we're just teasing this
skin
out from around this ear wax plug
there we are same again slow gentle
pressure
and there you tend to get this drawing
effect look at that coming away there
this
long long strip perfect that's taking
that down from the side of the
the ear wax there pull the next section
forwards again
let's get a good grip here i just
sheared that front end off
now i think we're getting more to the
ear wax bits here so we're going to
use the jobson horn
there's a teeny tiny gap just at the top
just enough to get the jobson horn
through so let's fold this down make the
gap a little bit bigger
there we are that allows us then to get
behind the edge of this ear wax and draw
this
pulling forwards now its just folded it over
again
unfortunately let's see if we can go in
that little bit deeper
we've got the crocodile forceps on
here now
good grip on this section you can see
that slow
up and down movement lifting and pulling
the ear wax just to try and draw this out of
the canal
here we are got that section that's
drawn another piece forwards let's see
if we can get on here with the crocodile
forceps
yeah it's just got a little bit softer
again now unfortunately
so we may not get another big plug here
it's just pulling through this now
so we've got the jobson horn back in
here we can see this section here at the
front
just trying to draw this bottom section
we've got this really hard section at
the bottom here that's what i'm trying
to dig into to draw this whole thing
forwards
always got to be careful with that
though
it's really sensitive on that outer part
of the ear canal so you can put a slight
bit of pressure but not too much because
it'll really feel uncomfortable for the
patient
and you do run the risk of
bruising or scraping the skin which can
cause a bit of bleeding as well
so you always have that paramount in the
back of your mind i'm just
repositioning this ear wax trying to detach
it from the canal wall using the jobson
horn
there we go very sticky section there
come away at the front
there's still more in here look we're
still going quite a way down there
there we are ah just flicked off we've
almost got that
bottom section moving there let's try
and lift this off the bottom part of the
ear canal it's ultra sticky
so what's going to happen is it's going
to be sticking and if you're putting
downward pressure obviously you're going
to make it stick even further
so i'm just lifting up here let's get
the crocodile forceps on that one
and a bit of suction now that way then
we can really manoeuvre and
wiggle this around the ear canal as we're
doing here detaching it from all those
canal walls
let's see if we can pull this section
away i'm trying to get at that top
section bunched into it as well there we
are look
there you go you can see another long
strip coming away now we've detached it
and there's another dry section
there we go just starting to come away
perfect
let's take a look behind that there's
even more behind this now don't forget
this is still just one ear canal here
so we'll take a good look now see if
we can get
over the top see that tiny tiny little
gap there
so we're just going to push down very
gently and draw this front section if
we're lucky it'll draw some of that rear
section away as well
nice there we go you can see that
extended further back there so took a
nice great big chunk out but there's
still more in here
so let's detach from this it's the other
way our left hand canal wall
and then slowly lift this up there we go
now we've got our bottom section can you
see that thick section there at the
bottom it's starting to come away
it's drawing that longer piece behind it
there as well
there we go look at that look at that
whole length coming away there this was
going right the way along the bottom of
the
ear canal here there we go and let's
take a look behind that
perfect that right you can see this
white cloudy patch here now we did a
video recently about healed perforations
this lady had a perforation which had
healed up a few years ago
this is the remnants of that perforation
so if you remember from that video i
told you that it can grow back a bit
thicker which makes it a bit cloudy
that's what we see look at that we've
got eight and a half centimeters
quickly read this three and a quarter
inches of skin ribbons and ear wax there
you can see that middle that second
section up there that was the last piece
of removal but look at those skin
ribbons above it
really really long pieces there oh
well guys as you could probably tell i
enjoyed voicing that one over i love
skin ribbon videos they're one of my
favorite ones
so guys as always i hope you had a good
weekend
oh if you've not seen one of our videos
before and you did enjoy it please
consider subscribing we
love getting more subscribers more
ear waxaholics what was the other term
somebody put in the comments ear wax
aficionados that was another one that
came up quite recently which i quite
like
so as always guys look after your ears
look after yourselves and look after one
another and i'll see you again on
wednesday
bye guys