hi everybody this is Rhys Barber from
audiology associates thank you very much
for watching our top 10 ear wax removals
this week
uh we did uh 10 and nine a bit earlier
on during lockdown so we thought we'd
carry on to the rest for you today
so these are my 10 favorite eox removals
that we've done so this particular
patient here
has some very very dry ear wax this is
one of the earlier videos that we did so
it's been a little while since i've seen
this it's the first time i've watched
this video for a little while
so you can see we've got the standard
size on the tube in here just slowly
working this kind of dry skin dry ear wax
away from this uh this
right hand ear canal wall
this ear wax is a really really tough plug
you can see it's really hard because as
you're passing the zolna tube over the
top
it's just breaking tiny little pieces
away and they're getting sucked into the
machine so you can see it's
really tough old stuff i might just get
a little bit of
a little bit of purchase on this piece
of ear wax here on the left hand side
a bit of olive oil in there as well just
to loosen this along so you can see it
it's coming away as almost like a dry
skin plate it's quite
common to see this kind of issue with
people who have uh sort of drier skin
issues and things other as well
it's also quite nice for me to look back
and see a technique that we did
a couple of years back so i'm just
trying to think this is probably about
two maybe three years
ago this little video just got a little
bit of dry skin coming away there
because it's so tough and it's not
really budging we're going to use the
jobson horn in here we've got a nice
gap there at the top as well to work
into so trying to get behind that front
section but
just missed it a little bit so we're
just taking the front end off
it's pulled through it's broken you can
see it kind of crumbled into that
into the jobson horn there so not really
the good grip that we'd like to get to
be able to pull it out as one plug
so i'm trying to work around the harder
pieces around the outside edge here
just to pull this uh pull this forwards
you can see the ridge i'm trying to get
behind now the outer section will
normally be a little bit harder so if
you can get a good grip into that
section you can bring the whole thing
forward that's what i'm trying to
attempt to do here
so we've got a grip on that outer
section look how that pulls
do you see it still attached to the
piece behind so look how it pulls that
long strip
it's funny to watch now i think probably
at this point i probably would have gone
in with a
crocodile forceps and tried to pull that
front section to keep it in one piece
but that's just sheared that front end
off there now
now you can see look at how dark the ear wax
material is behind
so it rather you all this is kind of
like the material on there so it's
really dry
flaky bits of dry skin they're embedded
into the ear wax
the ear wax itself oxidizes darker it's it's
much much harder as well look it's just
like a solid wall in there at the moment
so i'm really trying to get a grip
through the outside edge oh
i almost got it almost got it it's so a
little bit of movement to the ear wax then
this feels so strange looking back over
old stuff so uh
okay so i'm just gonna try and pull this
right hand section forwards
but it's just attached from the section
behind we've got to be careful here if
we chip away too much of this outer
section
we're not going to have because of the
way it's formed in the ear canal
there's not much of a gap at the top if
we chip away too much of this outer
section here
it's going to be difficult for us to get
a good grip behind
i managed to get a bit of purchase
behind that front section and pulling
that forwards actually brought some of
the ear wax forwards as well there you go
ah we can start to see the eardrum now
so all we've got now is effectively a
ring of dry ear wax around the outside edge
i think the reason i chose some of these
videos uh
certainly the earlier ones as well they
were kind of firsts for us to put on to
the the channel the first time you see
weeks or really dry difficult ear wax
so it was it's quite nice to go back
over them and
uh because they were first they were
kind of they'll always be ones that
stick in my memory
okay so we're just going to go with a
bit of the zollner tube now just to pull
this
section down there you go you can see
the skin underneath it peeling away
so it's you can see white's dried onto
the ear canal the way it has
very very slowly trying to work this
around trying to keep it in one piece if
i can
so if i detach this section then the
bottom is loose
but this section to the left hand side
is still quite firmly attached
yeah i don't think this is going to come
out with a zoellner tube
there's the crocodile forceps so we're
just going to grab that now if we're
lucky the whole thing will have enough
structure to it to pull
everything out in one go if it's too dry
or sheer which is what just happened
then
so we've almost got it out in one piece
trying to attach this from the left hand
ear canal wall now
a bit of dry skin there at the bottom
you can see
if you look at the texture the ear wax has
got this kind of
grainy uh bubbly texture to it and and
dry skin there will normally be that's
just a little bit smoother
crocodile forceps going back in again ah
that's not enough grip is it
yep well well done me okay guys together
without
okay let's try and take that bit away
there
with the forceps i think we just got a
hold of a couple little hairs there we
go
it's almost out
i get the grip there we go
almost there there we go
you can see the layers here look how
that's pulling forwards actually it's
it's draw you can see that sort of
resistance as we pulled out is drawing
that deeper section down as well there
i'm trying to hold on to i'm trying to
keep the grip but not
to hold on to it too tightly because
otherwise it does that it breaks away
it's always a difficult one when you get
these kind of dry
uh plates i've got a hold of that
slightly
softer skin there i don't think it's
gonna hold very well so we're just gonna
need to
bite into it a little bit further i've
still
i'm tilting my head to try and see
around the corner
let's pull this down
oh it's almost there it's almost there
that's going to shear again i think
it feels so strange watching something
it's just such a long time ago
i like i remember it but not in great
detail so what so what i'm seeing now is
that is
is uh it's just much of a surprise must
be what you guys are like when you watch
it
okay so we're just getting a grip on
this bit of dry skin look at this coming
away now
wow that's a good piece that is a good
piece
that's really dry it's really really dry
i think i would the benefit of hindsight
now i think i would have gone in
with a jobson horn at this point and
tried to pull forward oh it's still
attached
look at all that dry skin coming away my
goodness me
okay so we should be able to get a grip
on this section now
wow look at that coming away
and there's still more in there my
goodness okay
so we can see we've got a lot we can see
the top of the eardrum there we've got a
few more bits and pieces to come up i
forgot how good this was
so we're going to lift this bottom
section now
i think that's got to be one for the
crocodile forceps there i think
yeah so we're just going to grab that
section
i think this is going to be it's going
to be quite a thick white piece this one
the looks of it
yep there it is you can see the dry skin
on either side there that was holding
all this in
okay so we've got this little loop uh
little dry piece there at the top
i'm gonna get a brilliant that pulled
towards the suction with just enough
grip that's fantastic that's come away
really nicely
let's take a look behind that now we've
got this little section at the bottom
here of the ear canal
are we going to lift that up you have to
be quite careful with these because
sometimes
um they can be really attached to the
ear canal wall when you lift
it takes away a lot of all dead skin
with it and you can get a little bit of
bleeding sometimes
oh wow my goodness look at that coming
away
you can see with that skin see how the
skin behind is much much thinner
and then the skin at the front there was
much much thicker is it kind of
concentrated up
so what we have there 12 centimeters oh
my gosh this was before i did inches uh
five inches i'm gonna go with that
that's just a guess point i'll show you
a bit of the tank there
uh well uh i hope you enjoyed uh
that video there so that was that was
number eight in the top ten
the rest are coming this week as well so
uh stay tuned guys and
we'll pop some more on as well for you
as always guys take care
uh don't forget i am away this week so i
won't be able to respond to your
comments and things but i will see you
next week as usual