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 Rhys
barber from audiology associates thank
you very much watching our ear wax removal
compilation video today so at this three
patients in this video first patients
come through with one either was very
blocked up being back and forth to the
GP a few times prescribed lots of drops
to pop in there to train soften the ear wax
up but unfortunately nothing had really
worked so they came through the clinic
today just for us to give it a quick
once-over so very small ear canals for
this patient so you can see we got the
standard size on the two they're not a
great deal of room around that so we're
just microsuctioning up the the outer smaller
and softer bits of ear wax here just got a
grip on one of the harder pieces there
so what you can see is where the drops
have gone in they've softened the outer
section here but behind that way the
drops haven't managed to get to the ear wax
there is still quite hardened up so you
can see around really kind of manoeuvre
this ear wax wiggle it back and forth to try
get over to this gap so clean a little
bit more the entrance as we go yeah
sequence we've got a hard piece there
much further in now this patients ear
ear canal
starts off quite narrow at the entrance
here but then widens out a little bit
further in so what you're going to see
in a second is that we come across a
piece that's actually way too big to fit
out of the ear canal so you can see it here
so we've actually got a grip on it with
the micro microsuction but unfortunately it's
such a hard lump that we can't get a
really good grip on it with a microsuction
and it's too big to fit at the entrance
you can see it's actually completely
blocking the ear canal there so what I'm
going to do is try and get above it and
putting it behind it with the Jobson
horn but you can see just how hard and
brittle this is now in order to get a
grip into that with the Jobson horn
you'd have to press so hard on the top
that that
it would be like pressing a stone or a
pebble against your ear canal wall which
is which is quite uncomfortable because
there's not a lot of fatty tissue
underneath those those kind of the skin
of the ear canal walls it's almost directly
on top of bone so it's really
uncomfortable if you press anything down
onto it so I'm just trying to get more
behind it or a little ledge on the front
but you can see that's all we're doing
it's just scraping and break-in little
bits off so just gonna try and move it
now to see if we can find a better angle
to get it out or a narrower portion of
the the ear wax to remove it just trying to
move it around spin it
- not as ends just trying to find
somewhere you go this out of the ear canal
you can see it's just not budging so
because we've got a little angular piece
at the front following using the Jobson
horn what I'm trying to do here is get a
grip on it with the crocodile forceps
but as you can see the centre is
actually quite crumbly so I need a
little tiny bits are breaking away so
the other thing you can do is train
clamp it and break it down using the
forceps which is what I'm doing there so
trying to push down top and bottom so
I'm not putting any pressure on the
ear canal wall but try to break it from the
front
sorry that's almost almost kind of
trying to snap it in half if you like
using the force of the forceps but I
can't get a good enough clearance top
and bottom to get further on so I'm only
really breaking the front end off here
so now we've taken a little bit off the
front end it's always worth training
with a section because you've made it
that slight bit smaller to try and move
it around again and see if we can pop
this out but as you can see still not
quite small enough so I'm just gonna see
if we can get behind it and bring it
forwards using the Jobson
you can see a little bit of dry white
skin there flaky skin come away or
almost got it there but it's really job
is still too big so just gonna get rid
of this little bit of dry skin keeps
flicking up into my view all the time
let's take that a little bit of dry ear wax
away there
you can see a little bit of redness
there look at the bottom of the ear
ear canal so you can see where it's been put
we've just been pushing on it to try and
move it out so that's why you don't have
pushed too hard on there because we
don't want to cause any discomfort for
the patient you can see how red that's
gone already just by using the Jobson
horn at the entrance there so we've got
it into a more kind of it looks like a
narrower end of the whack so we're gonna
use the crocodile forceps again now just
at regular grip like the side I beliefs
lipped off and now it's wedged so you
can't get the crocodile for soapstone
either way so you have to push it back a
little bit and then try again yeah we
got a little bit further there you go
there we go so we - to break a piece off
there so you can see there's one last
little bit to come away so I'll just
grab that with forceps here you go just
take a look in it and there's the
eardrum there so all looking good so
this is what we removed so the
centre piece around about the two centimetre
there that was the larger
piece we were working on for a little
while so you can see all the bits and
pieces okay so this is the second
patient in the compilation so what we
can see here is we've got quite a large
plug of what looks like quite dried-up
ear wax it's got a little bit of softness to
it so not so much not as hard as the
last patient without a little bit of
softness there means that when you use
this section you can you can usually get
a better grip on this kind of ear wax and
it's staying together quite nicely you
can tell that by us we're lifting from
the base of the ear canal you can see the
whole lot is starting to move so it's on
its way as with the last patient the
entrance to this ear canal is slightly
smaller than the piece of ear wax or it's
actually wedged so you're gonna see the
camera moving the bits of really Wiggly
and I set them down to try and get it
out because I knew it was gonna go and
I'm trying to get a grip on that flatter
top section here let's see so it gives
me a better microsuction grip and then we're
gonna try and bend it to the left
it's coming out to try and bring it
around the corner there we are
and Audi pops there you go nice show you
the new drums this is the piece that
came away they're so centres just under
two centimetres inch in three quarters
so you see very different ear wax on walls
there same kind of principle but you can
see the difference between the two right
this lady came through with not so much
reduced hearing so there's a little gap
in this works here this is a combination
of very dry ear wax and skin dry skin so
it's firmly attached to the ear canal walls
all around it so I can see a leading
edge here at the bottom of the screen
there so what I'm going to do is use the
microsuction tube to try and lift that
leading edge off because if I try and
pull the centre without trying to detach
this bit first it's just going to kind
of hang on to that part of the ear canal
wall so I'm just trying to lift to see
if we can get a bit of a gap a little
ease quite firmly wedged in there so
what I'm gonna do now is go in with the
crocodile forceps I can see this a
slight depression in the centre so I'm
just twisting the camera in the four
separators try and get into that
position you can see what I'm aiming for
the top and bottom the depression isn't
as deep as I thought was going to be so
nice to get a bit of a grip but only on
the outside edge of this this blockage
and what I can tell by how this is
moving is it's more firmly attached to
the top than the bottom at the moment so
I'm just trying to work you can see it
pulling this was so tough this piece of
ear wax I had to put a lot of pressure to
pull this out because it really just did
not what a budget was really firmly
attached everywhere even the patient was
was I could feel the pudding sensations
they would they were laughing along with
me it was quite comical we had to pull
quite hard to get this out just try to
pull there you go we've got a bit of a
leading edge this is gonna snap I can
tell there you go so what we're going to
do now is go back in now we're gonna
we've worked the top and
left side loose so I'm gonna work small
sauce the top and right side now there
you go you can see the dry skin as it
peels away patient commented they can
feed it peeling out to the rear canal
when this bit came away maybe ice we've
got that we've got the lion's share of
it out now this is that the kind of dry
skin at the rear end of that blockage
that was holding everything in
unfortunately sometimes what happens is
that the ear wax dries around the dry skin
so you end up with these kind of quite
firmly attached pieces of ear wax there and
skin in here just try to get underneath
this so we can take it out using that
kind of up and down weekly motion as
we're pulling out just helps them loosen
it you guys think that some of this dry
skin is obviously still attached to the
ear canal wall so it just loosens it helps
it to sort of peel and pull out a little
bit easy a little bit more easily got a
little bit of dry skin here at the base
there you go look almost yep and dry
skin there too that you can see a little
flat with dry skin a little bit of dry
skin and ear wax to the left side so I'm
just gonna grab this bit whoops almost
so one pieces see if we can get to that
section
[Music]
something I've shown you what I think it
was on yesterday or video camera
yesterday was why do we roll the forceps
you don't always have the room in here
to do that the forceps are quite wide
equate so the oblong just behind what
you can see on the camera there so to
try and turn them is really difficult
and it's the physical action of moving
your arm around and trying to do that in
such a small space you run the risk of
Catholics scraping it along the ear canal
where it's war which can cause a bit of
bleeding I always prefer to kind of take
the route to and then go back in again
which is what you saw we do there and
there's the eardrum so all came out
nicely this is what we removed so
probably if you squish those bits
together but three centimetres
just over an inch and a quarter maybe if
you squish them together you very much
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