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 so we have another ear wax extraction
video for you today guys you can see that this is some very dry ear wax here
completely blocking the ear canal so this lady is being experienced in
reduced hearing I just suddenly came on so no indication there was a ear wax build
up before she attended no pain or sort of any other issues really that are
associated with ear wax so this is the standard size zoellner tube you can see
the entrance to this ear wax so that the front end of this ear wax here is very dry
and crumbly so is starting to come away a lot of these tiny pieces of ear wax
being sucked into the into the machine here just lifting lifting the ear wax from
the base upwards and we’re going it down from the top just to try and free it up
from the ear canal wall so unstick those pieces of ear wax from the ear canal walls
but when it’s very dry like this sometimes the best option is to use the
Jobson horn so with the Jobson horn you always aim to go above the ear wax and
there’s a slight bend on the end of the Jobson home which then pushes into the
ear wax as you straightening out bringing out your ear wax out in chunks you always
hope that that the ear wax will come out in one big piece rather than lots of little
tiny pieces like this but sometimes when it’s crumbly as it is in this case it it
comes away in smaller pieces so being very gentle with it try not to push too
hard down into the ear wax because you can then scrape along the ear canal walls so
just very gently maneuvering maneuvering this out you can see all the little tiny
bits of hair all sorts of bits and pieces end up in in ear wax just taking little pieces away at a time
at the moment so what we’d like to do with with these sort of drier crumbly
ones is to use the Jobson home for a while to remove quite a bit of the ear wax
and then to go back in there with some micro suction just to tidy up all the
loose pieces that are hanging around try and pull the ear wax away from the ear canal
walls into the center of the sort of ball of ear wax there which they allows us
to maneuver this out a little bit more easily so you can see we’ve got a bit of
dry skin of the white and just covered it up the you can just see it lifting
there the white at the bottom of that chunk that’s actually dry skin that’s
connected to the bottom of the ear wax so just wiggling this up and down trying
to bring it forwards whilst holding onto it with a suction it’s not always easy
to do you have a dry skin coming away they’re
a little bit more still still underneath this ear wax ball starting to move there you go you can
see with a dry skin you can see a little bit there to the left hand side has been
holding this ear wax inside this ear canal so what we’re doing by wiggling up and
downs we’re breaking some of that adhesion if you like to the ear canal wall
so Jobson horne going we’ve got it so far but it just won’t budge the rest of the
way so you can see going over the top of the ear wax with the Jobson horn just
pushing in at the rear and then slowly bringing this forwards right but you can
see it’s twisted as its come out so we’ve lost a little bit of grip yeah
it’s a piece with the dry skin on so not much left in here now so we’re just
gonna use the Jobson horn just to bring this last piece away there we go you can
see a little bit of dry skin at the tail end of that as well right so what we can
see here is the ear drum but can you see this little piece of ear wax at the top now
that can sometimes people in what they call a retraction pocket so it’s quite
common to get these kind of dents above there so if ear wax and debris stay in there
for too long it can be a kind of precursor for cholesteatoma as especially
if there’s a history of ear infection there as well but that’s coming away
quite nicely so just want a good look at this pocket you can just see it there
but yeah all looks nice and healthy so this is the same patient but the other
ear so you can see we’ve also got quite a large block of dry ear wax in this one as
well so same thing to start with just using the micro suction to take away any
loose a bits of debris you can see just how thick and hardened up this ear wax is so
we’re going to go in with the Jobson horn so as we did for the last one you
just go over the top you can see it crumbling away there now we’re getting a
little bit of movement to this sir to this block of ear wax I mean see just broke the front end off
there see just a hard that is how do thee when the Jobson horn is pulling
through the ear wax it it it flicks forwards because you put under put quite
a lot of pressure on it inside though the ear wax and then we are nice big nice
big chunk of ear wax there all came out in one piece so the eardrum it’s nice
and healthy was a little bit actually stuck to the top left hand corner there
so we’ll just go in with a bit of suction just to take that away there it
is peeling away nicely perfect and there’s the ear drum looking nice and
healthy and then we go guys this is what we removed so you can see we’ve got all
the tools we use they’re some of the bigger chunks of ear wax there so yep
all looking good this is our second patient in this group video today you
can see that this person has some quite dry ear wax can you see the shape is kind of
dome shape just pushed in at the centre classic q-tip used for this one so the
end of the q-tip pushes the center of the ear wax in and then you leave this
thinner long strips of ear wax all around the outside edge of the ear canal always
a little bit more difficult to take these aways and well sometimes a little
bit more difficult to take these away just because the center section of ear wax
if you try to get a grip on that and bring the ear wax out they’ll ear wax all stuck
to the ear canal walls going to hold this in really tightly so what we’re doing here
is just taking the ear wax away from the ear canal walls first which gives us a
better chance of getting this center section away so you can see we’ve got a
grip there with a standard size zoellner tube just bringing this at wiggling up
and down just to it just to free it out from the ear canal wall a little bit you see
a long strip of dry stretchy ear wax come away there so lifting a little bit of
the dry skin you can see underneath take you another block of stretchy dry ear wax
away now we can start working a little bit
more towards the center of this ear wax so still just trying if we can to lift the
edges you you know some people do ask would this type wouldn’t it be easier to
use the Jobson horn because you’ve got that center section recessed but to get
the grip on the ear wax on the outside edge of the wall it would be quite painful
for the patient you have to push into it quite hard you would be directly on top
of that ear canal wall so we’re using the crocodile forceps because we’ve got
a leading edge you can see the dimple in the centre of this of this ear wax there here we are to come out the nice big
piece a little tiny bit of ear Wax there at the the bottom the corral if you are
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so there we up there’s the eardrum so this is the same patient but the other
ear and what you can see on this one there is a slight gap in the ear wax on this
side where the sound is still able to get through so this patient didn’t really
feel they had any issues on this ear but looking at the amount of ear wax in
there and decided it’d be better to get it done whilst they whilst they were in
clinic today because it just block up probably the next six to eight weeks or
so so a little bit easier on this side so you’re just starting to pull away
they’re just detaching from the ear canal wall same procedure is the other one
always take it away from the walls first and then take it out in the center there
you go the last piece to come away nice big piece there I’ve just got a
little bit of it’s vey dry ear wax and dry skin in there so we’ll just get rid of
that as well oh yeah there’s the ear drum so you can see what we removed
today so lots of quite stretchy bits of ear wax some dry crumbly bits in there as
well and all the different tools were used as well all looking very good thank
you very much for watching our video today if you did enjoy the video then
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always guys until the next time take care


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