This blocked ear wax removal extraction video is performed by UK pioneer and world-leading endoscopic ear wax removal specialist Mr Neel Raithatha (Consultant Audiologist) aka 'The Wax Whisperer’ at his clinic in Oadby, Leicester, UK. Ear wax removal is necessary when ear wax build up becomes impacted. Symptoms causes by earwax blockage include: earache (otalgia), conductive hearing loss, blocked ear, vertigo, tinnitus, itchiness and irritation, occlusion etc.
The client contacted myself to clear her left ear due to severe ear wax impaction. She had an ENT appointment the day she did for microsuction but reported the nurse was unable to remove the ear wax as it became very painful for her and she felt the nurse was very inpatient with her. She left the ENT appointment in more pain and feeling more deaf.
She has a history of past perforations of her tympanic membranes and therefore didn’t confident to return back to see the nurse given how much pain it caused her.
The ear wax was pretty straightforward and simple to remove using endoscopic ear suction. After removing the ear wax, I noticed a potential cholesteatoma in the superior-posterior quadrant of her tympanic membrane, also known as the attic.
The attic of the eardrum can often become retracted following Eustachian Tube Dysfunction, creating a pocket. Dead skin that would normally shed and migrate of the ear canal can often collect and get trapped inside this retraction pocket. Over time, the dead skin can be come damp and wet (white in appearance) and then infected and solidified (ear wax like in appearance). Cholesteatoma’s can become very dangerous if left untreated, leading so necrosis of the outer and middle ear structures and also the skull and temporal bone. It requires ENT investigation and treatment once diagnosed.
I managed to remove the entirety of the dead damp skin from the superior-posterior retraction pocket. This revealed just how recessed and deep the retraction was. There was also visible inflammation of this region. There was some residual hard and thickened dead keratin anteriorly for which I have recommended the client to instil sodium bicarbonate drops to loosen prior to attending her ENT appointment.
A referral was sent to her GP to request onwards referral to ENT with regards to her potential cholesteatoma.
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