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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 Barbara from audiology associates thank you very much watch night your ear wax removal compilation video today since this first patient here has some very soft ear wax at the entrance of the ear canal so we’re gonna go in with the standard size on the tube here just slowly working our way down the ear canal what we’re aiming to do here is get a grip on the outside edge of this ear wax hopefully because it’s nice and soft this will come away nice and easily you can see we’ve got a grip there and as we pull this away what you’ll see is we got a long skin ribbon there you go which has been sitting in the middle of this soft ear wax so you can see that that’s actually giving this ear wax its structure now you can see another little thin piece there as we come out at the go getting sucked into the machine you can see where it’s lifting from the ear canal walls see the skin underneath there just peeling away from the ear canal wall underneath so what we’re trying to do here is a mob of that skin and get a grip on the ear wax that’s behind it which is what you can see coming out here and then we’ll go back in now always difficult because you can see where that skin is lifting look off the ear canal wall so it’s gonna flick up in front of the suction tube so when to aim just slightly above it because when you suction skin into a of the suction tube there especially if it’s a very loose piece of skin it’ll vibrate and wobble back and forth in the entrance to the suction tube so what you end up with then is a very high-pitched shrill whistle in the patient’s ear which isn’t very pleasant for the patient so what we do is we train aim above it get a grip on the ear wax which you can see here it’s just coming forwards this is quite you know quite a big piece in comparison to the size of the ear canal here so we’ve got it to the entrance of the ear canal but it’s not it’s just a bit too big to fit out so we’re gonna have to try and break this down and the entrance here because it’s this soft softer kind of mushy ER type of ear wax if we try it you can see loosen this as well in that ear canal in that ear canal so if we try and push the jobs in Hall in here it’s how they’re gonna spread this out I was going to push it further in so I’m better off using carry on with the suction there just to get a good grip on it there we are you can see that’s the deeper section there and we can see the eardrum there a little bit of loose more liquid ear wax there just a bit deeper in so we’ll just get rid of that now using the suction tube again they just clear this entrance first of all here we go and just working our way in just a little bit further now to that deeper section just put the fine end on this time so that will allow us know just to get in there take these last couple of pieces there you go just just gently taking this more liquid ear wax away here you can see a little bit deeper you can actually see on the eardrum there are some circles at the bottom just the left-hand side there the suction tube that’s actually some air bubbles that are trapped and stuck to the back of the eardrum because we can get a little bit of fluid building up in that space sometimes as we try and get the air back in and it just forms these little bubbles which will point out for you there you go you can just see the outline of them there so your drum itself looks good you can see these initial skin ribbon we took out is the first two and a half centimeters and the rest then is the ear wax plug and so just under an inch worth of skin ribbon and a couple little bits of ear wax there this is the second patient out of compilation today you can see we’ve got a very hard dry piece of ear wax a little bits of dry flaky skin around the entrance to the ear canal as well because we can see this is hardened up straight away we’ve introduced a little bit of olive oil in there just to start us off because what we’re hoping is going to happen is it’s going to work down the side of this ear wax and we’re going to be able to pull this and work this ear wax down the ear canal a little bit it’s just lifting from the bottom of the ear wax there try to bring this forwards you can see us wiggling this up and down it’s quite loose in the ear canal but the difficulty we have here is that it’s quite long so I’ve mentioned before about having to turn the ear wax as it comes out of the ear canal because if it’s very long as this piece is as you bring it forwards it hits the entrance to the ear canal war so the opposing ear canal the outer part of the arrow rather as it comes out so it’s not gonna budge I’m just trying to see if I can roll it from the top just to try and get an idea with the back end of this ear wax is and I’m trying to physically turn it but it’s quite solid so I’m going to go up to use the Jobson horn here we’re going to go down this left-hand side which is going to turn the ear wax you can see I’m pushing that across to the right side to try and bring this end around but it’s just snapped off the end there so we’re just going to try and do the same thing again so not only we’re bringing this forwards but we’re also aiming to try and turn it which is why I’ve gone down the side of the ear wax rather than over the top of it you can see it’s quite dry though it’s actually now facing the correct way so we can aim it towards the outer part of the ear canal they just went back in now we’re trying to get over the top they’re pulling forwards and to the right again there we go the only downside of doing that is you do tend to shear the ear wax away now you’ll see some white little bits here now this it looks to me like the remnants of q-tips sometimes you get a couple of fibers that come away rather than be an infection or anything like that it to me that’s what that’s what it looks like it’s just those couple little fibers that have come away and imbedded into these bits of ear wax and then dried in place them so just trying to get behind this last section here maybe that’s actually broken there’s left a piece in the ear canal there so we’ll get rid of this one first good look you can see those white fibers quite clearly there you’ll also see some on here as well because this is a bit more a bit deeper and a bit more free moving off to use the suction tube on this one instead they’re going to see those fibers quite clearly there and we’ll get behind that now there’s the eardrum looking lovely and healthy so this is what we move you can see we’re up 2 or 2 centimeters there if we budget across the left a little bit and that’s 3/4 of an inch bit bigger than our I think you very much for 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


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