hi everybody this is rhys barber from
audiology associates thanks very much
for watching our ear wax removal video today
oh my goodness we've got a really good
one make sure you stay tuned for the
second ear guys and this was it's
brilliant right okay so with this lovely
lovely gent came through the clinic
he is one of our existing patients
but unfortunately he hasn't been able to
leave his house due to covid and other
bits and pieces
so seeing him a lot later than
we normally would like to see this
patient to get this ear wax out
he produces a very dry type ear wax
which is what you can see here so we've
got the standard size zoellner tube in
here
just trying to lift this off but it's
not really budging so we've got the
jobson horn in here now so we're just
going over the top
very slowly drawing this down the
canal trying to flick
this front end of this ear wax away on this
particular ear canal what we've got is
layers of ear wax so if you imagine
different blocks of ear wax set further back
one over the top of the other so we've
got to try and tease these apart first
of all
which is where the jobson Horne is coming
in really handy here and because the ear wax
is quite
dry it does mean it does get a good
grip behind it be able to pull
this out quite easily because it's
very dark in color very old ear wax 40 00:01:10,479 --> 00:01:13,119 This
particular patient does have very
sensitive ear canals so i'm always
really conscious about
trying not to press down into the
canal too hard because the patient does
find it quite uncomfortable when we do
that
but you can see we've got this much
deeper section here
i'm just going to use the crocodile
forceps on this to try and pull this
down
we're going to grip on some of the hairs
that are embedded in to that little
particular piece of ear wax there
a little bit of dry skin you can see
we're just taking away from the entrance
and the suction tube in here just to
draw this top section
away we're going to go back
in now you can just see that loose
little piece here at the bottom
so we're going to try and pull this out
but it's dried onto the canal wall
further back
so we can get a good grip at the front
end here but it's the back end that's
holding this in
so let's see if we can switch up tools
here let's go back in with the crocodile
forceps
so we're getting a good
grip here
i hope that piece comes and then we can
see that
darker section just behind now what you
do find sometimes with these much
darker harder pieces
if you ever look at a piece of
coal you see there's reflective flecks in
it there's shiny flecks in
the ear wax does look a little bit like that
when you start taking this away so you
will see this little flacky
shiny bits in there which happens
sometimes when the ear wax becomes really
really dry
we've got a good grip here on the
outside edge with the crocodile forceps
let's see if we can pull this out the
rest of the way
so we're not putting any pressure on the
canal walls here literally just pulling
this out you can see it
flicking out of the ear canal
and we'll take a look behind that
there's the eardrum looking nice
and healthy it's pearlescent it's shiny
exactly the way it should look
okay so we're on to the second ear i
was excited about this one so with this
ear canal here we can see
very similar story a piece of ear wax in
here is dry
it's old it's dark in color quite
deep in the canal as well so we're gonna
go in with the jobson horn so far
so remember guys we've used micro
suction we used jobson Horne used
crocodile forceps
we're going to try and do the full set
for you today if we can so you can see
we've got
just over the top here as i push down on
this piece of ear wax
it's obvious that it's not moving
there you could see that a little
movement there patient was finding that
a little bit uncomfortable as we move
this forward
so i'm taking a look a little bit deeper
in i can see i've got this little gap
so we've got the rosin inserter in here
now so we're just going through
a very small gap so sometimes it's
great to get the rosin inserter just
behind it to pull this down
but what you'll see is as we pull this
forwards the end of the rosin inserter
is
very very narrow it's just pulling
through the
ear wax is so dry and crumbly it's just
pulling and scraping along the top
so let's try with the saint bart's hook
this time because it's got a slightly
wider jaw on it there so as
we can go behind we can drop right
behind and draw this forward
as we pull this forward you can see that
front section is just folded out and
folded away here
so i'm just going to push that down out
of the way with the saint bart's hook
then we're going to go through these
little hairs
in a second and then we're
just going to see if we can drop over
the ridge at the top of this ear wax
aim a little bit further in there we go
now we've
bit we can see it just started to move
out now it does crash into the camera
now so you don't get to see this piece
coming out but
i've actually picked it up
so you can see it this is what
came out so this piece of ear wax was
basically from the front to the back of
the ear canal this was one
long piece you can see why the patient
was finding this a bit uncomfortable
when i put
pressure on the top because it was going
the full length of the canal
look at the size of that piece of ear wax
that's actually the st barts hook you
can see we've embedded in there so you
can get a good look at that
it was huge both myself and the patient
were very shocked
but when you take a look behind this now
you can see there's actually remnants
there's little bits still left over in
here so it's not all the ear wax that's come
away
so we've gone back in now with the micro
suction
just to grab these little extra pieces
around the outside edge
and just lifting we've got
this piece right at the bottom of the
ear canal here
and it's really dry and perfectly formed
to the shape of the canal
now you remember what i said with this
patient feeling a little bit
uncomfortable if you put pressure on the
bottom of this
on the canal walls here which is why i'm
electing to use the
micro suction to lift rather than jobs
and horn to push down and draw backwards
because that would be quite
uncomfortable and this patient wouldn't
tolerate it so
we're just lifting now from the base of
the canal slowly
and peeling everything here
very methodically working
our way down
slowly and gently lifting the ear wax off
the base of this canal
you can just start it there
we go now it's starting to move
it's taking that dry piece from the
outside edge as well so
that's all the bottom section gone
and we've got this one darker piece much
much further in
so let's go and get a grip on this now
with the suction tube very
gently here lifting you can see i'm
trying just to nudge it
just to get it off the canal there we
are
out that piece there's another piece
just behind that so we're just gonna
grab that section now
you can see this last piece
there we go it's nice and mobile
out that comes through those little
hairs there we go
and we'll just do a little tiny bit of
tidying up just so these little pieces
around the outside edge here
and there's one chunky bit just stuck
you can just about see in the bottom
corner there we go
got a good grip there
and there's another piece there you can
just see this working down
perfect out that comes
and there's the eardrum looking nice and
shiny nice and healthy you can see a
little bit of dryness to the canal these
little tiny flakes are on the outside
edge as well this patient's pretty dry
skin
look at that well we've got five and a
half centimeters
i reckon if we budge that we're close to
six centimeters this we've got two and a
higher end that's gonna be two and a
half inches maybe just over two and a
half inches
that one plug on its own two and a half
centimeters one
inch long don't forget the ear canal
itself is only an inch it's two and a
half centimeters in length in most
people so this was going the full
length of that ear canal so i think i
think that's one of the biggest plugs
i've ever taken out of anybody's ears
i don't think i've done anything bigger
than that i may have one done one very
similar in size but i think that's
i think that might have just took the
biscuit i think that might have just got
the biggest one
okay guys i hope you enjoyed that
video we had everything in there we had
suction we had crocodile forceps saint
barts hook
jobson horn rosen inserter we had
pretty much everything but the kitchen
sink to get that one out
well guys i hope you enjoyed that as
much as i did voicing it over as you can
tell i'm a little bit hoarse i shouldn't
have spoken too much
and as always guys have a good
weekend i shall see you again on monday
take care of yourselves to give your
ears and take care of one another oh if
you did enjoy the video don't forget to
subscribe give us a like as well that
would be awesome
okay guys see you soon bye