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

for watching our ear wax removal video today this ladies come through with very

blocked up ears in both on both sides really been struggling with her hearing

a little bit of discomfort in here as well caused by the ear wax pressing on the

ear ear canal walls but no other signs or symptoms apart from that one really so

what you can see is that we've got some really tough hard ear wax now this lady's

never had her ears cleaned out before so we've tried using the standard size zoellner

tube but it's just not getting a grip on this ear wax you can see there's

lots of dry flaky bits of skin around the outer entrance to the ear ear canal there

which shows me that this lady suffer a little bit with dry skin so there's

probably not a great deal of oil being produced in this ear ear canal which can

then effectively dry out the ear wax you get a very dry and hardened up ear wax

what's complicating things a little bit is the entrance to the ear ear canal is so

narrow as we get older sometimes the ear ear canal will go from that nice rounded

shape to a much more narrow very thin oval shape and you can see that we're

having a little bit of difficulty getting the the ear ear canal to accommodate

the Jobson horn at the moment we're using the Jobson over the zoellner tube

just because the ear wax is so tough and so hardened up that to use the Zoellner tube

to try and remove the ear wax is going to be difficult it's not gonna get a grip on

there and it's just going to keep brushing against the outer edge so we're

going to use a combination of the Jobson horn to break the ear wax down can see just

how tough that is there's really difficult to get the the Jobson into it

we're going to use the jobs on to break the ear wax down and then tidy up the ear

ear canal there and tidy up the looser sections with the Zoellner tube a bit later

on them so just clearing up some of the outer sections here

just lifting from the bottom the Jobson Horne does a great job because because of

the way it's designed to be used is to go kind of ideally behind the ear wax and

then bring it forward what you tend to do it'll take the top sections away

really easily but it's difficult sometimes to get the bottom sections

lifted off the ear ear canal with it without causing a little bit of discomfort in

there so just probing along the outside edge of this ear wax see if there's a

looser pieces or we can just Hoover up with the Zoellner tube taking away any

loose debris that's there so you can see we're just using the Jobson home we

can't get behind the ear wax so we're just using any leading edge of ear wax any

protrusion of ear wax we're just using the Jobson horn to chip into that at the

moment because there's no gap excuse me I'm sorry

because there's no gap the st. barts hook wouldn't go down the side of this

either there's just not enough gap between the ear wax and the ear ear canal wall

itself so we're just having to chip away at the ear wax here you can see just taking

small pieces away it's really tough old stuff and with the size of the ear ear canal

being as small as it is it's very difficult to get a really good bit of

purchase behind that ear wax to get it down through so just try to chip away at the

top section here a little gap there just trying to open that out okay just you

can see it's not really getting a good a good grip behind that ear wax it's just

chipping the front edge down as it is there like you can't get behind it it's

literally just breaking that that sort of almost like ledge of ear wax at the top

there

you know just tiny tiny pieces coming away

you can see where the Jobson horn is pulling the central sections of ear wax out

but obviously it's leaving the sections stuck to the ear ear canal walls left right you

can see it's just flicking against the side of it look it's not actually

bringing this forward so you've got to push against the side of the ear wax to

bring this out so it's just taking central pieces away leaving the outside

edge sections there which is why we will change tools quite often so this is the

crocodile forceps going in there we're trying to see if we can get a grip on

some of this ear wax because it is quite dry sometimes if you'll get a nice piece

that you can get a good grip on it'll bring a big chunk out with it but it's

quite crumbly and dry so you can see just how harder this when I'm trying to

use the Zollner tube to bring this bottom section of actually off the ear ear canal

wall so we're gonna use the crocodile forceps now we've lifted a little bit of

ear wax at the base there so we're just gonna try use the crocodile forceps to

get underneath it but you can see just how crumbly this is it's this kind of

odd consistency of ear wax it's not strong enough to be able to bring large

sections away but it's also not sort of weak enough in places to be able to pull

out large bits using the section either it's all a case of chipping away and

breaking these smaller pieces away you can see there we've actually get one

larger drier piece but there's a lot more still in here because this this

patient hasn't really been experiencing too many hearing issues until the last

few weeks this has meant that this ear wax has gone completely unnoticed it's

really been plugging the ear ear canal very slowly keeping a small gap in here which

is been allowing the sound through the problem then is you don't really get

this sort of sudden drop in hearing which would which would encourage most

people to come along you can see a little bit of dry skin there as well

this sort of plate or flake of dry skin coming away see there's not enough space

in here really to get a fantastic grip with the crocodile forceps you can see a

little bit more this dry skin at the entrance he yet you know it's got that

flake away

there's a lot of ear wax stuck to the left-hand side ear canal wall here as you're

looking at it here just peeling away with this honor to you slowly working it

off the ear ear canal wall see it all starting to lift away there now

so you're just so firmly that's held in there so we use the Jobson horn now

we've loosened it off the ear ear canal wall just to roll this section out here we go

you can see there's still more in here there better dry skin they're lifting

off the the base of the ear ear canal wall so to help with this kind of thing we get this

dry dryer canals formulas this is slightly harder looking your ear wax you can

use a little bit of olive oil in here on a regular basis which will help to not

only most raise the ear ear canal but it'll help to keep this ear wax a little bit softer

because you can see it how much as this is built up

just using the bottom edge of the forceps to lift this ear wax trim break it

down a little bit at the moment it's formed a solid hard dried lump almost

like a little wall of ear wax in there so taking away some of the looser debris

you see the whole thing is moving in one piece and there's it's the front is

loose but the back is still bound quite closely together which is why you get

this movement to the ear wax so when you get a grip on you'll see that the whole

thing seems to move but just not enough to be able to get any kind of meaningful

grip on it so we're gonna switch back to the crocodile forceps again and see if

we can try and take out one of these pieces of ear wax that are bound together

you can see as we get a grip on it it's just pulling but that back end the ear wax

is still holding it in quite firmly

there we are so quite a large piece there left some behind at the entrance

to the ear canal now we're starting to get the first glimpse of the eardrum now so

we know we're we're getting somewhere now as far as this ear wax is concerned you

just so dry that the underside of the ear wax is isn't a lot of bits of white dry

skin there okay so I can just see the top of the eardrum there that little to

the gray patch of skin you can see in the top portion of the ear canal it's gonna

grab this leading edge you can see it's almost like layers upon layers of dry

plates of ear wax in here gotta be a little bit more careful now so I'll see the

backend of this ear wax is gonna be that a little bit closer to the drum you can

see the top section it was just folding back a little bit so if we can detach

this front end here here we go it should allow us to get a

better grip on the piece that's behind there we are now you can see a lot more

of the ear drum here dry myself locations shiny but we've got one piece

of ear wax that's sitting quite deep in the ear canal there we go

and there's the eardrum we can see all the dry skin around the outside edge as

well there so this is the same patient over the other ear no not as much ear wax in

this side there was a little gap at the top here but rather than that it carry

on and gets to the kind of levels of ear wax that we saw on the other side we said

we'd address this one today so you can see just as dry as the other ear and

just as narrow as well so it's not still not the easiest ear to work in but

because we have got this little gap it means that we can work just beyond the

edge of the ear wax and roll it forwards out of the ear ear canal which is what we're doing

here so getting rid of some of these drier pieces

and we're quite a large lump of ear wax just in the base of the ear ear canal here so I'm

trying to work this down the ear ear canal but you can see just how tough it is and

where it's really kind of pressed into the base into the bottom of the ear ear canal

you see it's almost like a plate and as we're lifting from the front end is

actually raising the back end of the ear wax a little bit so we're just going to

triangle a little bit deeper

just so tough you can see the eardrum there so we can see the back end of this

is not touching the eardrum which is great there is a bit of a gap there but

you can see where it's all kind of quite firmly attached itself to that the right

hand ear ear canal wall so why do we know is trying to get between the ear wax and the

ear ear canal wall to lift see if we can lift this front end because sometimes if you

detach it enough you can get behind and get the traction you need to take this

out you can see it's really really not budging very well so crocodile forceps

going in hoping if we can get between the ear wax and the ear ear canal wall with the edge

of the forcep we can lift and get it off the ear ear canal wall you can see just how

firmly attached that is try and loosen it off the ear ear canal wall while pulling at

the same time so it might you can see there was a little bit of movement there

see all these little dry flaky bits okay now we start see a bit of movement to it

there you see it lifting off the ear ear canal wall now getting behind it

bringing it forwards again because he's just so much dead skin as underneath

this that piece of ear wax has been trapped against that ear ear canal wall for quite some

time big old chunk there there's the drum little tiny bit of dry skin there

and dry ear wax so I'll just get rid of that there's the drum itself all looking nice

and healthy so as you can see there was a fair amount in here what we've got

eleven and a half centimeters all together between both ears four and a

half inches so a very very deep seated dry ear wax you very much for video

today if you did enjoy the video then please like if you're not subscribed

already you'd like to do so you can click the subscribe button here if you'd

like to check out some more our videos they're also up there now if you want to

follow us you can do on Facebook Twitter Instagram and also check our website if

you want to know a little bit more about us as always guys until the next time

take care