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 Reese Bobby from audiology associates thank you very much for watching our video today quite an interesting compilation this one we are two patients through in the last week with false fundus so we thought it would be a really good idea to pop this compilation on just to give you an idea of what we see so this first patients come through feeling quite blocked up obviously on both sides there is a history of ear nose and throat with severe ear infections in the past which has left this patient with this collection of skin tissue here now this skin tissue is actually formed a blockage in the ear canal so this isn’t the eardrum you’re looking at here this is almost like a false here dry most like a second-ear drum sitting just inside the ear canal but this is a collection of like granular tissue basically that’s blocked up this this ear canal itself which is going to cause problems with a sound being passed through to the inner part of the ear so sometimes patients will have these removed but if they’re non-problematic and really causing too many issues then patients will choose to just leave them there and it could be that there’s more problems by the surgery actually going in to fix the problem they may cause more problems by going in to fix it so this is the same patient now with the second ear so what we can see here is very blocked to be a ear canal we’re just getting a grip on this dry skin layer here at the front end you can see almost like a little sleeve of skin is formed around this ear wax blockage here so we’re just gonna choose to take this away now we’re just going to choose that little center section there to get a grip on see if we can pull this ear wax through that little sleeve of skin there we are you can see just wiggling it out of the ear canal they just slowly working this out there we go you can see that that little sleeve of scale at the base there the dry ear wax above it so we’ll try and get a grip on that dry ear wax the skin is flicking up though to meet the suction so we’re just going to move it out the way there we go start to come away nicely there you can see we got a little deeper section in there let’s get rid of that look at this this fold of skin here at the bottom which keeps flicking up that from the base of the ear canal warm but we’ve got this hard section here in there in the middle so I’m just gonna put the fine end on to stop the skin from flicking up in front of the sections right near the grip on this central section now at first glance this looks man-made but it’s actually a ring of skin that surrounded a hard core of ear wax so as a little point on the back of it go first glance I thought this may have been part of a hearing aid but it’s it’s actually skin tissue and you can see that little folds like a little flat dice or skin tissue with ear wax in the center so I’m going to get rid of this bottom section of skin here and this little flappy bit here as well let’s get rid of that now you will see a lot of scarring in this ear.this this lady you can see the very thickened skin there on the ear drum from repeated infections so this is what we removed you can see that last little disc is the wats to the first right hand side there and you can see it there in inches now the next patient you’re about to see if you haven’t already watched episode 94 that was this patients original visit which which went back a little while I’d highly recommend going back and looking at that before you look at this video this patients come through we saw them or must be about 18 months ago now I think where we took a lot of ear wax a lot of dead skin away actually revealed a false fundus which the patient didn’t realize they had so what we’re going to do first of all is this is the ear that we removed a lot of dead skin debris from last time so we’re going to just going to get a grip on this and take this away just slowly working this out here just getting a good grip the problem with these kind of skin issues and because we’ve seen this patient before we kind of know what’s happened in here in the past with this kind of very dried-up hard skin so I like to go straight in with a crocodile forceps here just getting a good grip on this to take this away um thank you to everyone who checked at the mote site and I was already placed orders it was loads of orders thank you so much everybody for embracing that mrs. B was so pleased she really didn’t know whether it was gonna go down well but you were so lovely as you always are so thank you so much for that you can see that we’ve got this really dry with a skin now so we’re just gonna grab that with the forceps there you go you can see it’s lifting it out wiggling this out of the ear canal there we go so a good look behind that you can see some scarring on this eardrum as well lots of really Ripley and indentations all over the drum little bit scar tissue there so this is the site that we discovered the false fundus on last time got a bit of ear wax here at the entrance false from the sitting behind so we’ll just tidy this up for the gentleman this today he did say after the last visit we recommended he goes to see the doctor and ear nose and throat consultant he did go along and it was felt that it would be more problematic to remove it than to leave it where it was as it wasn’t causing the patient too much of an issue if you remember the patient didn’t actually realize they had it when they when they arrived in clinic so they’re just gonna monitor it and just keep an eye on it so he’s just coming in for a bit of a clean-out today on this side the first eye we’ve seen him actually since that so not a tremendous amount just built up in that time you can see that we have a very thick sticky ear wax all stuck to the base of the ear canal wall here so we’re just got to lift it off the ear canal wall first of all didn’t see just trying to peel it away it’s really stuck there there we go you can see the skin starting a lift underneath as well really jammed on this a loosening as much as they can go nice good edge now to work on with the crocodile forceps so we can get underneath that now just slowly pulling that we can see the skin kind of puckering up underneath that drive at her skin there let’s get a good grip on this and take it away there we are let’s take a look behind that now we can start to see that false form this is a blank end in the ear canal there that’s sitting probably about 1/3 of the way down but or a third and a half you can see it’s really this there’s no the reason we know this is a false fundus not the eardrum first of all it’s not where we expect to the eardrum to be secondly we’re missing the features we can’t see the hammer bone there’s no light reflex the skin looks very different looks thick is not translucent so all these things would indicate to me that this is a false fundus just getting a grip on this outer section here so our job today is to tidy this away if you touched on that you’d see there was a little bit of flexibilities to that skin but it is very very thick there will be some blood supply to that as well so we’re just going to very gently clear all this away patient remembers having a head injury when they were younger but no other kind of factors we a couple of infections not many so we’re just going to clear this away now just a little bit of sticky dry material to the left-hand side you can see how unusual that false fundus looks you know take a look back over yo it’s certainly not a nice shiny drum so take a look back over our our other videos you’ll see the anatomical features we look for with your drums and this just hasn’t got any of those just slowly slowly peeling this away we’ve got a lifted edge on that one though so we can get in here with the crocodile forceps we’re gonna grip that little dry piece there Jess get a grip on the edge see if we can line the force s up there we go and start to peel we are it’s coming away oh just broke away on the end so we’ll just go and peel that little section away there got a nice good lift on that now so we should be able to get a deep grip with the forceps there we go and off that bit comes there is one last dry section to the base of the ear canal there it’s quite flat so crocodile forceps are not going to get underneath that so we’re going to aim with the suction aim just slightly above bring it to the suction there you go and then we can peel that away lovely it’s have a good look at this false funders now you can see where I mean the skin just looks beige in color it’s not translucent so this is what we removed so to the left hand side that’s the piece with wool from the first ear to the right is what we removed from the side with a false fundus you thank you very much for watching our video today if you did enjoy the video then please like if you’d not subscribe to 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


  • Can't there be a build up of wax between the eardrum and the false Fundus? Would love to know that answer πŸ™‚
    Thanks for the great video

  • Interesting as ever Rhys. Regarding the fundus, if it was removed eg by the cauterisation to help with bleeding. Would it regenerate? Also would it be a painful recovery for the patient? Love from Essex πŸ’– πŸ’–

  • The human body sure is an curious thing. I've always found these little ways of healing very interesting. Example. I had trauma to my left foot and ended up losing the large toe nail. I guess the trauma destroyed the nail bed as it's never grown back (check out Toe Bro on here if you're interested in this stuff – not for the faint hearted and not as satisfying as ear stuff imo, but a good channel full of information none the less). My body has compensated by developing a thick layer of skin to replace the nail, almost as a perfect replica that keeps what would otherwise be a very tender area safe. Visually, it doesn't even look that different or unusual.

    So I wonder if developing a false 'drum' is the body's way of protecting a sensitive area after trauma or repeated infections?

    Anyway, enough talk, I'm off to view this merch store.

  • Yay, this video is just what I needed on a Monday. I ordered my merch from you today too! I got a really big Mr. B T-shirt so I can lie around watching YouTube in it. πŸ˜β€οΈπŸ‘

  • Hello from North Carolina, USA! I just recetly found your channel and really enjoy your videos. Not sure I can articulate why! If I needed an audiologist, I would want to be able to see you. You are so gentle with your clients. I'm looking forward to more content!

  • Are you doing anything special for Christmas this year? Xxx love you videos so much. I suffer from mega insomnia and when it's bad I just put all your videos on a loop till I fall asleep xx

  • "skin is flicking up to meet the suction"… I this Mr B is the only one to successfully pull off talking about earwax and earskin in that Shakespeare-ish manner.

  • Another couple of gems Rhys πŸ‘Œ. False fundus looks freaky. I ordered on the merch, so pleased to hear it's going well. Love to Mrs B for organising it all 😘 x

  • Great video as always. May I ask, what makes you choose the St.Bart's hook over the Jobson horn & vice versa? Thanks, Lisa.

  • Thanks for referring us back to Episode 94, I do remember that classic episode! I felt so bad for the patient, but it looks like the canal has healed up nicely at least since that first removal. I hope his ears feel much better now from when he first came to see you!

  • Thank you for showing the follow up of this client. I have been waiting to see how the canal looked after having so dead skin removed. That is truly my favorite procedure.

  • Yay! I always love when I see a notification pop up from you guys! πŸ€—β€οΈβ€οΈβ€οΈ I definitely remember that first episode but I still went back to rewatch it. Definitely recommend 😊

  • I watch lots of ear wax removal videos by ENT consultants. They predominantly use a jobson Horne, can i ask why you use suction predominantly? Dr Booger on Instagram is an example of what I'm saying

  • Good recommendation to view the second patients previous video. It provided a good contrast from then to now. What a difference! Job very well done!!! Take care everyone! πŸ€—πŸ€—πŸ€—

  • As always, I love when your videos hit and I stop everything to see them!! I always learn something and find it amazing what our bodies do.. Thanks as always and best regards to Mrs. B.πŸ‘ŒπŸΌπŸ€—

  • Love this video I knew what one you was referring to one of my fav so interesting to see improvement ( I have seen every video more than once lol πŸ˜‚ )

  • Oke, so anyone help me out! Not from England, that's why.
    There's 1. The Hook, 2. Crocodile Forceps, 3. Standard….. Tube? or suction tube and 4. Fined end???
    Let me know…. πŸ˜ƒ

  • Wow video 94 was amazing must have seen it about 3/4 times such a difference on his ear now
    Again another fantastic video
    Diolch yn fawr πŸ‘πŸ‘πŸ‘πŸ‘πŸ΄σ §σ ’σ ·σ ¬σ ³σ ΏπŸ΄σ §σ ’σ ·σ ¬σ ³σ ΏπŸ΄σ §σ ’σ ·σ ¬σ ³σ Ώ

  • Can cerumen build up behind a false fundus? What possible changes are you looking for when monitoring a false fundus? Utterly fascinating. I worked closely with an ENT surgeon when I was a surgical technologist, but I never had the opportunity to see a false fundus. Thank you for the terrific video!

  • Most of your cleanings involve dry skin. Is that the case with most people that have to get their ears cleaned? If so, if they regularly put some sort of oil in the canal regularly would that prevent that skin from sloughing off and as a result, reduce or eliminte the cleanings?

  • I did see that second patient in the previous video and its amazing how much better it looks for some reason. Great as ever Rhys.

  • Rhys, you need a coffee cup in your merch. That's something I could use! I can't see me wearing your face over my junk! The pictures of you and Mrs. B!!! You lucky stiff!!! She is truly a knockout!!!

  • Ahhhh, great video! I am going to slowly peel the skin from my holiday turkey😎Mrs. B, you gotta
    Develop some sort of ear contraption so that we can practice our β€œpeels” and put it in the merch store!

  • Would the false fundus act like a plunger and cause pressure on the ear drum or is it more of a protective layer preventing the ear drum from further damage?

  • Hello! Love your videos and the very professional and instructive comments! I have a question about the tools you use: are these three tools the only standard in your profession or are there other type of instruments which could be used as well (although you clearly master these three like a super boss πŸ˜ƒ). Thank you!

  • If false fundus is not removed, couldn't it cause hearing damage in the future? Also, what if impacted ear wax is between that and actual eardrum, wouldn't that escalate hearing issues?

  • False fundus doesn’t interfere with eardrum vibration/hearing? If a completely closed up ear canal filled with wax would make someone deaf, why wouldn’t a false fundus do the same?

  • Great extractions as always..! Always looking forward to your next video..! My regards to your beautiful Misses. πŸ‘πŸ˜

  • You always make my Mondays, Wednesday and Friday's a treat. Thank you so much for sharing..! Wiggle, wiggle Me B..! πŸ‘πŸ˜

  • With the False Fundus ear….they have no drum so they are deaf on that side correct? If its all you know then you wouldn't notice any difference I guess.

  • I’ve always been curious if wax can and/or will build up behind the false fundus? As always…thank you Rhys for your hard work and dedication!!

  • I’ve been so busy the last 3 weeks with uni! On the negative side I’ve missed 3 weeks of uploads πŸ™ On the plus side I HAVE 3 WEEKS OF UPLOADS TO WATCH!!!

    Congrats on the merch launch! You and your wife are magnificent!

  • I love these videos! I literally look forward to every monday, weds and friday!! Loving the merch guys!! When I get paid il def be buying some items! You guys are smashing audiology, keep up the great work!! I think I might travel to come and get my ears seen too, feel clogged, hard of hearing but also diagnosed with auditory processing disorder. Xxx

  • I feel so bad for those folks. I'm sure it can be repaired but I still feel bad for them. Love From Michigan and it's cold outside πŸ’–

  • Medical related question: do you have any videos of ear cleaning of someone that has had a stapedectomy?

    I have had a stapedectomy in both ears. Curious what the ear drum looks like afterwards. Also, curious if you can see the calcification of the stapes before corrective surgery has been done.

    Thank you, Mr. Barber & Mrs. B!

  • Wow – the 2nd patient's first ear looked so much better than on the first video. Did the ENT remove the dried skin on the TM that you had to leave, or did it repair itself naturally?

  • I love your videos! Just a couple of questions for your next Q&A video. Does wax build up behind a false fundus? I know you have mentioned in videos numerous times that cotton buds (Q-tips) are dangerous to use inside the ear canal. I have seen advertisements for an ear cleaning tool that is essentially a corkscrew-shaped device that is inserted and rotated to pull debris from the canal. What are your thoughts on using that type of instrument in place of cotton buds? Thank you and congratulations on the merchandise website launch!

  • Because the false fundus is not very deep in the ear canal, wouldn't earwax continue to be produced behind that false fundus, buildup and eventually cause a problem?

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