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hi everybody this is Rhys Barber from audiology associates thank you very much for watching our video today this patient attended due to reduced hearing and as we can see when we look in here we can see lots of skin debris lots of little tiny bits of ear wax in there as well so we’re gonna go in with a standard size on the tube just getting a grip on this skin just getting the first it’s just a blunt angle you’ve seen a few of these videos before we’re just starting to get this long strips of dead skin coming away that’s been hanging around in the ear canal so I’m just trying to wiggle it just to keep it feeding out of the ear canal I just broken off the end there so I’m just going to use the crocodile forceps just get a grip on this skin yeah so we’re still working on the outer part of the ear canal at the moment because we got this out this long strip to get hold off you can see you’re just feeding this continuous bit of skin there we go let’s just get to the end there so get rid of that and you can see the act of the the next section they’ve been brought forward so you can see where it’s just blocking all around the outside edge of the ear canal so we’re trying to get a good grip on this with a suction tube there we go I’ve got the next piece of this ribbon-like skin just trying to keep as much of that so we got a race nice firm grip with a suction tube slowly gently pulling this out of the ear canal you don’t just see it feeding back out I’m gonna fear fair distance away from the ear canal mouth so I’m gonna have to switch and just even get a grip on this with the crocodile forceps now difficulty with crocodile forceps is sometimes it can actually share the little bit of skin that you’re holding almost the it’s more likely to break so just gently pulling this still feeding out just remember this is just pure skin it’s just old skin debris you know you can see it’s quite a long strip of skin there we go it’s got a little bit more to come away so this is this is a tail end of it we can just see a little blue with people you just don’t know you can always the eardrum itself just take you know there’s every you can see there’s a little piece of ear wax just stuck to the eardrum there very gently turn that one little piece of ear wax away being a very delicate this is quite sensitive part of the year here we go that’s disappeared Olivia nice shiny eardrum all looks nice and healthy patient here much better this is the two pieces of skin that we removed the first section you can see here up to about seven centimeters the second piece we took out the remainder is the first piece of little bits of ear wax in the bottom of the tank there yeah well as always guys if you liked the video then please like share subscribe and I’ll see any comments leave them below all the best and as always take care


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