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 much for watching our ear wax removal video today
you can see that our patient today has one very clear ear so a lovely shiny you drum we
just saw there one ear that's very blocked up with ear wax
this gentleman's come through with reduced hearing no pain just purely
realised he can't hear very well he's quite a regular ear wax builder not so
much come through with us this is the first time we've seen him but he's been
going back and forth to his GP for a number of years to have this done so what you can
see here he's got quite a large blockage of ear wax and we can see that we've got
quite a lot of hairs and here's a quite hairy ear canal stick with this video
everybody its it's the the end is definitely worth it so it's it's
definitely one to stick with I know the view gets a bit obscure with hair every
so often but stick with it so the microsuction isn't really able to get
a good enough grip to pull this out it's quite a solid piece of ear wax so we're
gonna use the Jobson horn here just to just to start breaking this up a little
bit making a bit easier to to remove if anyone's watched our videos before you
know we used we tend to use the different types of tools just a clear
ear wax away one does one specific job so in this case the Jobson horn is breaking
this ear wax down allowing us to get a little bit deeper into the ear canal the
blurring you can see on the camera is a little bit of olive oil that this
gentleman has been using before he come through to his appointment today he's
normally has his ears irrigated so syringed so you need the ear wax to be very
very soft for that but for suction I need to be harder so we didn't realise
he needs to he's dosed as here with a lot of a lot of
olive oil so we're just starting to break this ear wax down now still working on the
outer part of the ear canal you can see how much hair is embedded in this ear wax you
can see just how stuck together this ear wax is as well so as I'm pulling this out
you can see there's still a lot more much much deeper in much harder stuff as
well so we're just trying to bring this ear wax blockage out you can see it's
stretching look so we're using the micro suction the standard size zoellner tube
here to clear the entrance to the ear canal just hoovering up all the little bits now
we're starting to come across a little bit of dry skin which is what the tubes
got a grip on there a little bit of hair as well so we're just moving that out of
the way but that's pulled some of the ear wax from deeper in the ear canal much
further forward okay so you can see just how tough this is so we're actually bending
and flexing the ear wax pulling it away from the ear canal wall now we're gonna
use the Jobson horn now to get behind that
here we are so just pulling the next section out okay now we can just start
to see a little bit of skin to the bottom right hand corner there it's not
unusual to find all bits of dead skin in the ear canal especially with a lot
of ear wax in there the skin of the ear canal can't migrate out can get out as well
as it should so it gets embedded in the bottom of the ear wax just pulling this
forwards now still breaking this ear wax apart that white section you see to
the right side of the zoellner tube is actually a little bit of skin there that
kind of anchors ear wax in sometimes just trying to work this loose get it away
from the ear canal wall what the patients experiencing at this point is just a
little bit of pulling sensations basically they'll be able to feel some
movement in the ear canal so we've got what looks like quite a solid piece of
hardened up ear wax here so we're just going to get a grip on it with the crocodile
forceps pull the plate away there you can see the leading edge of another
plate of what appears to be ear wax
just trying to get a grip on this to pull it out like I said the view does
get obscured every once in a while guys but really stick with it it's worth the
wait
there were starting a slightly better grip now this is really tough so
what I think is happening you this isn't ear wax this section I think what we got
here is some dried up skin so I think we've got a little bit of quite dry
keratosis obturans on here as well you can see as we're getting a grip on it that we
have to pull quite hard to get this moving so we're gonna use the Jobson
horn you can just see the outline of a bit of skin there now that is skin at
this point that we're pulling out and we've actually got quite a good grip
there bring it forwards so we're just gonna try and get behind it again now we're
starting to see the size of this plug so he's actually this gentlemans actually
got a really big plug of skin in here so we're just trying to get behind it now
and bring it forwards with the Jobson horn again we've got some out so some
isn't sitting in the bowl of the ear here we go see it there we are still
coming so we got a mass of skin and ear wax that you can see just how big that flap
of skin is so as we pull this just trying to get a good grip on it with the
crocodile forceps to try and take it out in one big chunk here we go guys so we're a
bit of tidying up - I will show you that piece in a bit more detail in a second
but we just got a bit of tidying up to do getting rid of a little bit more of
this old dead skin in here a bit of ear wax in there as well so we are there's the
ear canal and there's the eardrum so the ear canals lovely and clear now so this is
what we removed remember this is just from one ear so you can see the size of
that plug that one there from about five and our centimeters to nine centimeters
so a four centimeter will plug of skin that's come away
see it in inches there so from to two to three and a half at a push inches
you can see it's quite big you see some striations in there as well from the
skin overlapping just there thank you very much for watching our
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care