hi everybody my name is Rhys Barber I'm
the audiologist here at audiology
associates we upload new earwax removal
videos every Monday Wednesday and Friday
at 9 p.m. UK time so please consider
subscribing
[Music]
hi everybody this is Rhys barber from
audiology associates thank you very much
watching our earwax removal video today
so we have two patients in this in this
compilation both was quite similar
issues but very different earwax so this
first patients come through with very
reduced hearing and you can see the
earwax here is staying together quite
solidly in this first year quite soft
from the outside edges but nice hard
central course are quite an easy one to
remove so we're using these standard
sides on the tube just to maneuver this
out of the ear canal go in with the Jobson
now just to remove at the last last
little bit out of the entrance so we're
just trying to get behind the earwax with a
Jobson horn here popping this out into
the bowl of the of the year
here we are soon see quite a solid plug
there and looking behind that you don't
look so it looks nice and healthy couple
of bits of dry skin around the outside
edge this is the same patient but the
the other es or what we can see is very
similar looking earwax quite light in color
at the entrance here so slightly softer
earwax at the entrance to the ear canal the
standard size on the tube going in again
and what we're doing here is just
clearing around the outside you can see
it's turned very kind of mushy at the
around the edges of this earwax so we're
just clearing that away first of all
just trying to detach from the ear canal
walls we can see the difference in
colour so very light earwax around the
outside edge followed by this very dark
darker colored earwax in the centre so
similar to the other ear
soften the edges but very hard core just
trained to use those on the tube to
maneuver this ear wax taking away some of
the smaller pieces here on the outside
edge we are just pulling across
doesn't really wanna budge what we can
see around the outside is the very light
to collab material to the right side yes
below there's all children there to the
left-hand side as well is a bit of skin
so what's happening at the moment is
we've got a large piece of dry skin
that's holding this whole section in
place so what I'm trying to do is free
this up from either side really with the
with the solitude at the moment trying
to maneuver it back and forth not really
budging they would start to get a little
bit of movement to it now you can see a
gap for me now between the leading edge
of the ear wax there and the ear canal wall but
what you'll see as we as we flex this
ear wax is you'll start to see that the the
skin behind it is actually holding on to
this ear wax
maybe are just wiggling it back and
forth just trying to unstick this a
second you can see how that the the
skill and Elise come very wet which you
can see here we've cleared the majority
of the soft auctioneer says we're just
down to this hard core of ear wax now in the
center quite firmly wedged in place and
held in with this bit of dry skin
you can see that whiter section there
you can see the skin actually pulling
away there is it's pulling away from the
pulling away from the block of ear wax they
see the whiter material sitting behind
that's the skin that's holding on you'll
see it flexing that's why we can't
really budge this at the moment it's
doing holding him really tightly maybe
all that skin starting to peel away now
just go no we've opened a bit up to the
right side we're gonna move this white
to across to the left that was just to
go a little bit more of a wiggle to the
ear wax to remove this out
now tremendous amount in here but some
of these smaller pieces can be quite
troublesome to remove there there we go
now as you can see the white skin there
to the right-hand side as well where
we've been working this out and
detaching that from the ear canal wall there
in all this doesn't want to come out
roll this area it's on this way there we
go so you can see actually where the
skin has been attached to that there's
the two pieces removed so the first
piece from the first year on the
left-hand side the second piece there on
the right-hand side okay so this is the
second patient so this patient also has
a skin issue as it's hardened skin
sitting just in front of the ear drum so
I'm having a quite a bit of difficulty
with their general day-to-day hearing at
the moment but you'll see the difference
in in how easy this is to remove so a
little bit of oils gone in here
and because this is stayed quite quite
firmly together the whole thing came
we'll hit in one piece so you can see
when you haven't got that attachment to
the outside edge how much easier it is
to remove this ear wax similar story on this
site so this is layers upon layers of
skins very white in color you can see
sometimes ear wax will look like this if
they've used sodium bicarbonate because
it bleaches the bleaches the ear wax so I'm
just probing this with the sauna tube
first of all you can see obviously got a
couple of hairs there on the outer part
of the ear canal not particularly thick
hairs it's just they're sitting just in
front of the camera first there so you
can see we've got a little bit of wiggle
to this but not enough because it's skin
this side is holding in quite tightly so
really not enough microsuction power to pull
this through so we can use the Jobson
horn just to break this skin connection
here at the top and then get behind that
harder piece at the bottom and pull now
you'll see it's rolled forwards now so
we're going to get behind the next
section
that's it roll again okay so we pulled
the deeper section out now that's what
we've got is what's sitting in front
here so we're just gonna use the Jobson
again just to get behind this roll fours
you can see just how much skin debris
was in here there it is
big plug of big plug of skin there if we
take a look behind that you can see us
where it was sitting so you can see that
the excess skins stuck to the eardrum
there so that will come away over time
you can see the two pieces of the piece
to the left hand side is what we removed
from the second ear the piece to the
right hand side from the first you very
much fortunate video today if you did
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until the next time take care