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 for watching our video today
the first patient in the compilation has a grommet which is falling out of the ear
drum and got lodged in the piece of hard ear wax and there's dried blood as well so
there's the grommet you can see because that's that white plastic ring there
like around the outside edge and you see the indentation in the middle so this
patients been coming back and forth to see us for a little while
grommet after it was inserted there was a patch of dried blood that had formed
around the grommet and actually covered the central hole as well so the grommet
hasn't been working for quite some time but it's you know it's nearly
impossible to actually clean the grommet out unfortunately it would be such
delicate work that it's usually easier just to reinsert another one but the
patient was hearing really well so decided to carry on as they were just
come back periodically just for us to keep an eye on it just to make sure that
it's sitting where it should be so this is the first time we've seen it was
actually dislodged so just clearing away some of the dry skin around the entrance
to the ear canal this piece of dark material that it's actually wedged in
he's mostly dry blood so it's very brittle and very hard and it's
unfortunately for us a really Angela shape so it's really difficult to get a
grip on with micro suction and as you'll see it a little bit later on it's also
quite hard to use crocodile forceps although that would be you can a natural
tool of choice really what you'll see in a second is as you get a grip on it
because it's so brittle and so thin and delicate as we get a grip early you can
see it just breaks and just snaps in pieces so imagine this almost like
a scab that's formed or a pool of dried blood that's got really kind of flaky
and just not a lot of kind of rigidity to it so it's really kind it
just snaps very easily so you can see we're taking it away piece by piece
now understandably this patient has had quite a few ear issues
over the years and is a little bit nervous quite understandably if you've
had an operation on you you're always gonna be a little bit sensitive so I'm
trying to take it as gently as I possibly can
you can see we've still got that grommet embedded there so just try and grab this
front end section again a little bit of pressure try not to put too much
pressure on but you can see it as we're moving it forward it just snaps just
snaps in place there though it's quite wide and we're trying to fit this out of
a narrow part of the ear canal so it's not the easiest we also got the little cilia
just on the outside part of the ear ear canal there is wood so because we're
having to work quite far away because this is almost just inside the entrance
to the ear canal you actually see the Cilla there as well so they're getting the
view every once in a while just trying to manoeuvre this now with some suction just
let you know we have managed to GS put the finishing touches to episode 200
we've been recording some footage as well today for you so that is going to
be coming out it's gonna be the next video that comes out okay I'm not sure
when we're gonna do it yet we're toying with the idea of what day to release it
we may do one on Sunday we'll both see well we'll have a little look because we
want to make it a premiere as well as want to make sure as many people can
watch it as we possibly can but I will pop onto the community page when it's
coming out do pop along and I look at it it's well worth watch like I said
there's something a little bit different so let us know what you think when you
do see it and there's know if you like it so we just managed to get this piece
out now it's rolling its way out to the ear canal there you go LD pop so you can
see it's been embedded in some dry skin this kind of hardened up kind of dried
blood material a little bit of dry skin at the entrance to the ear canal this we're
just removing that now and there's another piece of dry skin you can see
the ear drum there now just another a bit of dry skin to the top portion of
the ear canal there we are so there's the ear drum you can see there's
minimal scarring it's not the that smooth pearlescent surface you
normally get that's the grommets are actually broken it out of that dry blood
you can see on the left-hand side so you can see just how small that is so that
would be inserted in the eardrum just allowing a bit of air through the drum
into the space behind so this is our second patient in the compilation that
straightforward ear wax removal this one as you can see very blocked up on this ear
ear canal very shiny wet ear wax you can see a little bit more so this patient has been
using some olive oil before they came in just to help soften it up a few people
asked in the comment section of the last video why we specifically use of olive
oil and why is there a particular type and we use it a surgical grade olive oil
was just basically is olive oil that's just been filtered and filtered and
filtered down so you can get it from chemists and pharmacies there's a link
in the description below to the so Amazon which shows you so where you can
get from as well as an affiliate link in there so if you want to use that you're
more than welcome to you people do use lots of different types of oils olive
oil tends to be the one that's most commonly used though and it has been for
quite some time but there are lots of use different types of oils there to go
in there so it's kind of a personal preference obviously not engine oil but
you know no one kind of oils so just managing to remove a lot of this ear wax
it's all coming away now there you go just start to break it down pull smaller
pieces away gives you just chipping away at it section by section luckily its
although it's been oiled it hasn't gone too soft so we've still got this central
hard piece of ear wax there with a soft edge around the outside maybe I'll just there
you go so we can see there's a little bit there at the entrance little bit
further in we'll give it a quick spring clean around the outside edge here just
take that bit away and wait to the next piece and you can see we've got this
piece that's yes sitting a little bit further in it's very soft so I'll just
take that away they're lovely and they be out you can see the area you
see the actual patches of darker patches on the ear drum is where
the back end of the ear wax has to be touching the drum now patient wanted the
other we are cleared we can see the eardrum on this side we've got a section
of ear wax sitting on the outer part of the ear canal so we're just going to take that
away stating for the third patient guys if you love skin peels definitely stay
stay for the third patient we've got and it's actually the immense skin peel a
bit later on it's really worth a look so you can see it's all coming away just
managing to get this softer ear wax and manoeuvring it out towards the other
part of your ear canal here it's breaking away a little bit so not quite as
hardened up as the other side now we've hit the harder pieces you can see
they're coming away in larger harder lumps we go there we go there's the
wiggle gauge and you like it so there we go and there's the eardrum so this is
what we removed you can see quite a few chunks of ear wax in this patients
yeah all that kind of lovely ready brown colour okay now this lady came through
basically hearing aid had been whistling for a little while and couldn't she
couldn't get the bottom of it and went along to the human ear Department and
they've told her that the other there is what they said is ear wax in the year this
isn't actually ear wax this is a ball of dry skin which is layered upon laid upon
layers now we have done videos with skin like this in the past but you can
really see the individual layers here so that the skin in the air ear canal grows
kind of laterally so you get this kind of long strips what's happened here is
the skins actually over produced and it started to wrap around itself a little
bit in the ear canal walls you end up with imagine like an onion peeling layer upon
layer upon layer away that's what's happening here but those layers then
have dried so you get a very hardened up piece of skin and in this case it's
quite a large ball of skin in here so micro section is just not going to hold
onto it because you really have to work this out it's not going to come away
easily but if we leave this in there it's going to call
you know it's gonna cause quite a few problems for the patient so using the
crocodile forceps to train hold on and gently manoeuvre this out moving up and
down back and forth just to Train release it from deeper in the ear canal
patient is absolutely fine with having this stone you know we always check
in on our patients so whilst we're doing the procedures to make sure they're okay
lots of pulling and tugging going on in the year but perfectly happy for us to
carry on not in any discomfort so you can see now it's starting to come away
you can see the layers develop in there we've got the bottom hardened up layer
there I just pop back in so you can see as this comes away you'll see as this
comes out just how big this is so you can see the layer upon layer upon layer
as it's coming away can you see the layers behind cut peeling out with it
there you go see all those layers in there so it lays a lot then so what
you've got here now is the outer section of that piece you can see how it spirals
down the ear canal so you can see the full length of the growth of the skin
there's your spiralling down so it's covering the top of the ear canal wall there
which is what I'm taking away now it's also going right the way they're not
quite attached to the ear drum though it's just sitting in front of the ear
drum you can see all the layer built right the way down so you can see how
this is formed in the ear canal now so what we're going to need to do is take
this away now obviously this is the top layer of skin
though if you've ever had a pull of skin next to your nail you know that when you
pull it sometimes what you'll get is that Paul will keep going okay so it may
end up just you may get a little bit of bleeding I we do get just a tiny patch
of redness on this skins it comes away because where is detached from the side
of the ear canal wall you can see a red lump there now what we have to now is get a
grip on this using the crocodile forceps gently lift and pull there you go you
can see it's starting to unwind - or peel away top bottom front back all
coming away nicely patient jumped a little bit there so we're just gonna go
back in and take another grab on this there you go and pull it away there and
comes so you can see some redness at the bottom of the ear canal there it's just
where it passed over eardrum itself there you go all looking good so this is
the skin pull you can see a little bit Rand about the five cent I've been about
to see the real redness that's where that little bit of bleeding was in there
but you can see the whole thing is all came out and just how big that was so I
hope you enjoyed it today guys stay tuned for episode 200 which is coming
out as our next video and as always guys take a cue very much for watching our
video today if you did enjoy the video then please like if you're not
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next time take care