hi everybody this is Rhys Barber from audiology associates and you don't know
that your earwax extraction video for you today as you can see we have some very
deep-seated earwax which is stuck almost on the eardrum itself so quite a difficult
one to do we just gonna start with the standards zoellner tube and you can see
that there's not enough room in this ear canal to fit a standards zoellner
tube and the endoscope so you have to switch to a much smaller fine end so
it's going to take a lot longer to remove this because we're going to take
a little tiny peices away at a time so you can see there's a little bit of
wetness in that's where the olive oils gone in just to strange soften some of
this earwax a little bit so very gently trying to maneuver some of these smaller
pieces of ear wax away just working our way around now this is one solid piece
of earwax this one so I'm trying to break little bits off and I got to be really
gentle because it's actually pushing up against the eardrum so you can see the
whole thing moving if you look to the right hand side it's just blocked a view
there a little bit but you can see the whole section moving there here we are
just pulling away slightly see at all jest there you go just take another
little piece away the difficulty we use in a fine end normally with a like a
larger piece like this you use the standards zoellner tube but we just don't
have enough room and this ear canal is so narrow and so small that we're going
to use the fine end and it's just a case of breaking these little tiny tiny
little pieces of earwax away so I'm going to go in take it away because the earwax is
quite hard as well it's not getting sucked inside the tube itself is just
sitting on the outer section of the tube so it just blocks the it just blocks
the suction up straight away so I'm to constantly take a piece of a go back in
take a piece away you know just getting a grip on the next section all the time
just trying to move it sort of sideways you can see there's still a great deal
of earwax in here now when you look to the right you'll see a lighter beige color
to the right of where the section is at the moment that looks like an old piece
of dead skin and I think we can see the bottom section or it the white section
just below the suction tube there so I think it's actually sitting on a
piece of dead skin which is sitting just in front of the the eardrum itself
I just trying to find any kind of movement or any loose section of earwax
there to work on just see it starting to move then I would take the top section
away there a little bit still trying to be very gentle with this trying to tease
this always best we can yeah you see that that's that's one solid plate there
at the top so finally difficult to find any way that we can get a good grip on
this earwax it was such a difficult extraction because you you're working a
really confined space or very very small limited movement in here
and you're working with the fine end which makes it a lot harder because it
blocks up so easily with any little bits of earwax on and because it's such a hard
piece of earwax it's not getting sucked into the machine at all just block in
the section and constantly so quite a laborious task getting this one out now
we've just found there's a little bit goes a little bit of flap of dead skin
now this looks like it's all connected to that piece of earwax so when we start
pulling on it you can see it's quite difficult to turn the way where you can
see the whole section of earwax is just starting to move there it's coming away
from the eardrum so we're gonna work on this bit of skin but as it is it's
breaking away now I know you guys have seen me use crocodile forceps to go in
and remove this the difficulty here is the crocodile forceps wouldn't fit the
ear canal itself wouldnt accommodate it but I couldn't accommodate that and the
endoscope at the same time so we're having to just very slowly work our way
along this just trying to get a grip on the skin but when you're putting the
section in obviously the skin gets pulled into the section so sometimes as
you're trying to move it out the way the section pulls it back into place it's
just breaking little pieces away yeah just trying to maneuver this why it was
so difficult we've got to be conscious of the earwax and trade them all over the
skin into the right position to get a good grip on it with a suction
I was proving a little bit difficult
maybe I would just just start to turn it okay just breaking they go and see a
piece of this old skin coming away you know and I'm just getting the next
section coming away now there we go just getting trying to get a grip on the skin
all the earwax there are now we're starting to get some movement to the earwax you can
just see it starting to move if there's a little bit of misting on the camera
it's because this lady was quite a bit of olive oil in here so it's you do
sometimes hit a little bit of olive oil you go into the little hairs of the ear
canal couldn't get out with the standard with the fine end we just switched to the
standard size zoellner I'll just remove it the outer section there we go
the next section just going in with the standards zoellner tube again here we go
getting a grip on it you see a couple little hairs from from the head there
just let me able to plug the ear canal I'm just looking in there we can see
we've got some skin debris left in there that needs to come away because that's
still resting against the eardrum so this is the fine end again just looking
to try and get a grip obviously very careful just hovering up above the ear
canal wall because we know it's very very sensitive just going for the next
section now a long kind of the area there's that skin the remainder of it
here we go it's that long strip there go back in it's a tiny little bit of this
earwax this will remove that you can see a little bit of redness little red dot on
the eardrum as well it's just pulled up here and from the
outside there as well at the same time that's still attached to the head -
welcome back out with the socks with me go okay now you can see there's some
fine hairs in here you know I get asked this question well why don't we remove
these fine hairs look what happens when you put the suction on them that's what
they do is just flapper under the end of the section they don't actually go
anyway okay you might get the odd one gonna get sucked in with this - a little
bit that you can see the eardrum there so these will get washed away with their
the next bath or shower this is what we removed you can see how small some of
these pieces are that we were working on but yeah really tough extraction today
but thank you very much for sitting through it guys and as always it's like
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