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 go 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 removal video now this
gentleman's come through complaining of reduced hearing a little bit of soreness
and aching into the jaw and neck which is quite a common side effect of having
quite a lot of ear wax in your ears are quite a big occlusion we are just
starting off by removing some of the dry skin from the outer part of the ear
ear canal before we tackle tackle that ear wax blockage so you can see that dry
skin flake coming away there we're using the standard sized Zollner tube just
scraping that along the surface of the ear wax here which is just going to break
any looser more crumbly pieces of ear wax away if we try to get a grip on the ear wax
and there are these looser pieces on it then those will tend to get sucked
straight into the machine so you'll lose the grip quite a bit so sometimes it's
worth removing those first of all so we using the Jobson horn now just to go
over the top of the ear wax and you can see these pieces breaking away here just to
break some of those pieces away to take them away yeah
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channel the next the next couple of weeks here we go just start to see it
crumbling away now with under the under the Jobson horn
little bits just breaking away to get a grip on that with the Jobson there dear
we are still using the Jobson han to remove some of this ear wax you can see
we're trying to get behind this blockage of ear wax there ideally getting behind
it and through the ear wax so it just brings out larger chunks but as you can see the
ear wax is really crumbly so as we're trying to pull through it with the
Jobson horn it's just breaking little tiny pieces off it is coming away but
coming away in little bits it's always worth after you've done a few passes
with the jobson and I'm just going back in and tidying up any looser bits of
ear wax in there so little tiny crumbly flaky bits they all all then get sucked
inside the Machine gives you a better view usually to go back in with the job
son or later on so you can see the center the ear wax has pulled away and we
have this long strip of ear wax on the bottom of the ear ear canal so we're going
to need to try and bring that out as well so back in with the the jobson
now just taking this ear wax away from the edges there you go just gently you can
see just moving along pulling the ear wax down which gives us a gap there to work
on in front of that as well trying to put a pit of pressure on the bottom of
the ear ear canal hopefully getting enough leverage then to pull out the larger
chunk you can see it a little bit just broke away there
there we go we just started going a little bit of movement to this thicker
harder ear wax at the base of the ear ear canal now
sometimes you're lucky and the whole thing will slide along the ear ear canal wall
you can see how tough those they were just how much pressure you have to put
in the jobson horn into that ear wax here we got starting to move now and see it's
just edging towards the outer part of the ear ear canal yeah if you don't follow
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there we are you can see a nice big chunk that's come away there still more
debris in here though so still lots of little crumbly bits of ear wax so we're
still using the Jobson horn bringing those forwards again a little bit just
broke away there taken out to the bowl of the ear canal now we're starting to see
the eardrum so you can see we've got the ear wax against the right hand ear ear canal wall so
we're just going to turn turn the jobson and work on that area always been
very mindful that too much pressure can can be quite uncomfortable for the
patient so you don't want to go too crazy really digging in they were the
jobson now it can be really tender for the patient it feels like a pinching or
scratching sensation so just using a little bit of suction to tidy up this
bit of dead skin here at the base of the ear ear canal I think that's what's holding this
last section in you can see that it's still quite piled up in here on the
right side excuse me sorry so just peeling that away from that
ear ear canal wall because at the moment it's stuck so tightly against that ear ear canal
what's really difficult to get a good grip on it with the crocodile
forceps here just on that bit of skin but you can see it broke away a bit too
easy I was hoping it was gonna be a bit bit thicker and a bit harder so may well
have pulled a little bit more of that away it's back with the Jobson horn now
there you can see it's starting to come over to the ear ear canal so we've moved the
deeper section of ear wax further down the ear ear canal now so we can get to that
a little bit more easily with the the Jobson it's a little bit of white dead
skin there at the back end of this lump of ear wax coming away as well where this
has been sitting on top of the skin the area so that was what was stuck to the
right hand ear ear canal wall there and that little piece this will get rid of that
as well okay then we can use the micro suction just to clean these last few
pieces away because this isn't attached to to the ear ear canal wall means it's easy to
take away with the with the micro suction
a little flake there at the base of the ear ear canal here we go
could look at that ear drum so there we are you have a little bit on the dull
side not such a good light reflex in there so this is the same patient but
the second ear you can see very similar looking ear wax in here very dry very
crumbly again not always the easiest to get to get out but we'll start as we did
with the other side with at the the micro suction first of all just taking a
looser bits of debris away you can see it's almost like layers of ear wax like sort
of flakes of ear wax rather than rather than one sort of consistent piece there you
go see that's a bit of dry skin there a
few more little dry ear wax flakes at the base
we try and lift the ear wax sometimes just to unstick it from the bottom of the ear
ear canal that will just help it to slide a little bit more easily in larger pieces
so you're not really getting a tremendous amount of traction there with
the the micro suction and it's just little tiny pieces blocking the end of
the section as well a little gap at the top there so we're going to go for the
jobson horn through that gap aiming very gently up see we don't want to go
in too deep I'm gonna try and roll this ear wax forwards you can see just how tough
that is you can't really get into it with the Jobson horn as we're rolling
you can see there's more angular pieces at the back of the ear wax which are then
raising up to the top of the ear ear canal
area now we've got a bit of traction to it so we're just aiming for the small
holes and gaps we can see to try and get behind the ear wax to bring it forwards you
can see as we rolled it another we got a larger piece flicked up this is much
harder ear wax at the rear end of this this blockage see it's much darker in color
as well here we go as you can see quite a long sausage shaped piece of ear wax come
up there so a lot of this came out in one big chunk here we go there we go
there's the eardrum so you can see slightly better like reflex on this side
this is what we removed we measured in inches we had a few people ask if we
could do that about four and half inches of ear wax there you very much for watching
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until the next time take care