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 watching our compilation video today so we have two patients in this compilation both have kind of dry ear wax issues but very different in nature so this first gentleman has come through with some very reduced hearing in both sides he's quite a regular patient of ours it's officer with very dry skin so his ear wax tends to be very dry also but what you can see is this dry ear wax is very hard but it's actually formed in layers or plates so as we're taking this away you'll see as it gets sucked into there the gentleman's been using a lot of olive oil so it means that he's managed to keep this really soft based on past experience he finds that more helpful but we've got these large chunks of dry ear wax that have formed in here but formed in separate layers you see in the centre of the canal there's a little bit around the outside edge so we've managed to remove all the larger chunks from from this canal now it's just a little bit of just a little bit of tidying up round the edge here just to take those bits away you can see the drier skin there lifting from the side of the canal wall just taking away some of the drier ear wax from the the ceiling of the you can other kind of the at the attic portion of the canal if you like so just taking that away there it's lifting some of the looser bits from the outer part of the canal here we go lovely we can see the eardrum already so you can see it's all looking nice and shiny in there I got a good look at that now in a second here we are there's the eardrum or looking healthy so this is the same patient with the second year you can see much more clearly in here the individual blocks of dry ear wax that are formed if the patient hadn't old this before they come through it would have been a little bit more difficult to take away the majority of cases we don't need all the valve to carry out the suction beforehand but in this case with a very dry chunks like this patient finds a lot more comfortable if they've oiled it beforehand which which is which is absolutely fine doesn't doesn't affect us at all so just going in taking individual pieces away this looks like a much larger section here there we are just getting a grip to maneuver it and just bend it slightly so we can get over to the canal a little bit of loose dry ear wax and skin here at the top so we're just gonna take that away here we go take those few pieces away there little flaps of dry skin here because we use the olive oil the dry flaps of skin have actually started to moisten a little bit start of moisturize just ever so slightly so they're peeling away really nicely if these were see longer drier pieces of skin or much harder piece of skin as we go in it would actually lift and it could run the risk of bleeding in the canal so happy enough to take those away there this is what removes here five centimetres there Buller two inches in both between both ears so all come over you nicely the second patient a compilation this patients been sitting through to see us before as well suffers were the same kind of problem every time with this very dry thin layers of ear wax that form around the canal but also over the drum itself so they start something to having a few issues as far as the hearings concerned coming about every 12 months to get this done so what we're doing here is starting with the suction tube er on the outside those lifting here to try get a a good leading edge underneath this so we can start to peel it away a little bit more effectively so you can see just lifting that there working our way slowly along the canal wall because we've got a leading edge we're gonna go in with a crocodile forceps sometimes with these kind of skin peels it's difficult to get these away sometimes it'll come away like this when these in pieces there are a few of our videos where they come away in one piece which is obviously really satisfying when they come in one go but most of the time it's this kind of issue here where you get this smaller pieces breaking away so lifting again with the crocodile for set no I'm just pulling away there when you've got the crocodile for setup in the year as well it's slightly bigger than the suction tube so you have to work slightly further back away from it sometimes if the canal is not particularly big which is what is in this case which is why it gets a little bit fuzzy at times because you have to keep the camera a bit further back it's just in front of those little Scylla those smaller hairs on the inner part of the year those hairs are tiny they're there they've very fine thin teeny tiny little hairs so you couldn't trim those away but now you can see we can go in that little bit deeper now so you get a clearer view got a nice grip on a section of ear wax there but it's torn away again now we can start to see the layer that's built up over the eardrum there so that's to the right side of the screen and we've got a hard bit of ear wax at the top there so what we're going to do is work on that harder piece for us to peel downwards because we have to be very gentle and taking this away here we are now we're starting to see it peel away and again just lifting ever so slightly so what we're doing is using the suction to hold on to it pulling downwards and also withdrawing the suction tube slightly at the same time just to try and keep everything coming away and moving nicely so there you can just start to see the leading edge of the eardrum there so just going in with a crocodile forceps now to get a grip on that top section hopefully the whole thing will come away there we go so that's completely uncovered the eardrum now so we should see I love the eardrum there we are we have still got some dry ear wax around the outside edge here just on the ridge that appears just before the eardrum most people are these kind of little Ridge that appears just before the eardrum which means you have a little valley that's tucked in behind so what we've got now is that dry dry ear wax is sitting down in that Valley and on top of that Ridge so we need to just gently peel this away so you can imagine this is quite delicate because we don't to get too close to the eardrum but we also have to have enough room to be able to maneuver here we are this ear wax away from the sides of the canal walls and out of the valley there you go starting to come away now just crocodile fall so it's going in if we can just get a grip on this section here just got a grip on the leading edge just pulling there we go taking a quite big chunk there is still a little strand here that's sitting up so we're going to use the forceps again just to get a grip on the edge of that there you go that's that piece taking away as well we just got the bottom section to the right now to take away and you don't lift it yeah looks like it won't break there you go and that's a good peel there coming away from that valley around the edge there we are lovely we have a lovely shinier drum so this is what we removed so you can see the section around about the three centimeter white was the piece that was completely covering the eardrum and same there for the section round about the one inch mark maybe all guys you very much watching our video today if you did enjoy the video then please like if you're not subscribed or idea 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.