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 very much watch like you actually move all compilation video today this is the fourth day of the five districts of videos so in this first patients here you can see we’ve got some very soft looking ear waxed boats in about halfway down the ear canal so we’re using the standard size on the tube here because it’s very soft a lot of this is getting sucked straight inside the machine this works is a combination of ear wax and soft skin that look so as you take this away you’ll see little white streaks coming away after it that’s dead skin that’s just sitting in the ear canal itself just tidy up a little bit at the bottom there you can see just how soft those we can start see the eardrum now just lifting from the ear canal walls there we go last tiny piece there just scraping along from back to Frank’s we don’t want to lift this whole strip of skin up here we go let’s take a look at that there it’s a just a tiny bit just over that little Ridge there just nip the top off there we go that’s that gone just a little bit of dry skin gone there the patch you can see the top left hand colleges with a wet skin there so that will come away on its own this is the same patient but the second year so you can see a vastly different type of ear wax on this side this one’s much drier much harder ear wax here now this does happen in patients sometimes and with lots of lots of people get put in the comments actually all white as the ear wax yo can you get different types of ear wax your why do people you’re ear waxing muddy or not the other well you can see you can get quite big variations in the type of ear wax you get in each year so as you can see this is really dry it’s not going to come away with the suction tube just because it’s a little bit too solid and when it dries like this it dries against the ear canal walls just gonna use the Jobson horn here working down the side of the ear wax to peel it off there you go peel it away from the ear canal wall take some of that dry dead skin away underneath as well you can see these long flips flap so you have dry skin coming away much harder chunks further in as well looks like we’ve got two separate sections further in so we’re gonna concentrate this bottom one if we can’t get that out first we can see it’s flicking back up all the time so we’re gonna work underneath it now just to try and leave her off the ear canal wall first of all and you’ve got this long dry piece of skin here at the entrance we’ll just attach that source just by rubbing the jobs in horn across the skin at the back and just attach is that so that’s gone because we’ve got that lifted up section now we can get the job at the crocodile forceps underneath now here we are just got a good grip on that the section a bit further in this well trace for the crocodile forceps as well just judging the gap we need to give there we go you can see a little bit dropped away when using the crocodile forceps it’s very it’s a fine art to know how much pressure to put on the ear wax too much pressure and you’ll split it and crumble it too literally you’re not going to hold onto it very well so there we go got that section coming away nicely there now a little bit of dry flakes at the entrance to the ear canal here so we’ll just use the Jobson horn do a little bit of tidying up something on this top edge here just breaking those few dry pieces away oh that’s gone it’s a little bit of dry skin here at the base so we’re just flicking that away and I’ll just get almost got behind that little bit of dry ear wax as well so I’ll take both those away at the same time there we go as we’re doing that we’re emptying a lot into the bowl of the ER there so we’re just going to take that it’s difficult to pick the reason we do that it’s difficult to hold on to these pieces of dry skin and ear wax using something like a Jobson horns you just drop it in so you can see very light in color that father’s left pieces the soft ear wax and then the pieces for about half an inch onwards there are the drier pieces we took over the second year so this is our second patient in the compilation today you can see we’ve got quite a large chunk of ear wax in this year there’s a couple of gaps at the front there but when you look through the gap you can see the ear wax actually widens further into the ear canal so really blocking this patient up standard says all the tube here then trying to get a grip on the base here lifting from the bottom you can see that the bottom section he was actually resting against the ear canal wall so it’s gonna dry or stick to the ear canal walls we need to detach that bit first which is what I’m doing here by just lifting and moving this around got a good gap now at the top so big enough so we can get the jobs and horn in safely just gonna press down as close to the rear as I can but not too far in obviously we don’t want to cause any damage by pushing in blindly so we’re just aiming for gaps and just resting on top of the ear wax because the whole thing that was moving forwards towards the front of the ear canal it’s starting to rather than come out as one piece it’s starting to fold over on itself a little bit so between a little bit further back again bring this forwards on its way there we go it’s coming around the corner now they go back in just to give it a bit of a helping hand there we are you can see a nice big soft ear wax there it’s a little bit more to come away just using a little bit of suction just to tidy up this front end here I’ll see if we can lift this piece off the bottom this is the bit I was saying that was really stuck to the ear canal wall will you lift it like you’ll see just how much was actually stuck there doesn’t look like a lot when you first look in but when you take it out and start peeling it off the ear canal wall you can see just how much ear wax sometimes hides in that entrance there so got a good grips wiggling it back and forth now here comes here we are see it was quite a substantial chunk left down in there as well so they could look at that tram here we are so this is what we removed you can see all from one year so quite a quite a fair bit it’s three centimetres there I’m gonna go for it into the quarter for that one there’s a new to the quarter there you very much fortunate 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 videos there 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


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