1,560 - Complex Grade III Keratosis Obturans Removal

[@KimberandDan]

My cousin has this and says it is extremely painful. I have seen her ears completely closed at the opening from swelling. she hast to go to the hospital just to get relieved. She said once they pull the plug it’s instant relief. Great job Neel well done.

[@HectorFabela-k6u]

Seems like she could avoid it by regular appointments??

[@KimberandDan]

@ yes. Unfortunately, she does not have insurance. If you don’t have insurance here in the states you suffer. That’s just that. Unless you go to the hospital like she did and get a bill for no less than $5000 to remove one plug then she can’t afford to pay it. It’s just very sad and it is what it is here. But you are absolutely correct. Regular appointments would have helped her. She is suffering now, but she doesn’t have the money to get it done.

[@KimberandDan]

Seeing an ENT in the United States is like luxury specialty medical attention. If you have insurance, you can see an ENT if not, your only option is to go to the hospital and load up on hospital bills or just suffer. Thank God I have insurance, but some people do not. At one point the people that didn’t have insurance had to pay hefty fine, which was very sad because most likely people without insurance or people that are poor or who are in lower class and cannot afford it anyway. It is ridiculous. Our laws need to change.

[@pamelaayash9352]

I work for a health insurance company in the US; and I now understand why this procedure may be denied because of the level of difficulty and the cost. Do you recommend the use of hearing aids?

[@jasminecollins897]

​@@pamelaayash9352 all the more reason that it SHOULDN'T be denied. Insurance exists so people can get the care they actually need, and insurance companies have no business deciding what medical care is and isn't appropriate or required.

[@nataliehowe6213]

As a nurse, one of the things I love the best about your videos is how seamlessly you blend the actual medical terms but explain them clearly. I think your videos should be integrated into curricula for healthcare students. To hear about the normal anatomy, and see the various pathologic conditions in real time makes so much more of an impression than a textbook ever could. Thanks from across the pond in Oregon.

[@Fazzer57]

I totally agree. I believe Neel is the best at wot he does. He wears many hats, he is an audiologist, he invents new tools, he developed the wax scope and he does do training courses. A very intelligent man. Best wishes to our cousins across the pond, from the UK. ❤

[@JuliaWalker-t6e]

Yes ❤

[@terriwetz6077]

It's amazing to watch you work on these difficult cases. No wonder other audiologists send their patients to you for this condition as you've become so expert in helping them. The patient now needs to do their part in keeping up with yearly appointments and not allowing it to get this bad again.

[@wifeoftheparty9839]

A 30 minute long grade III keratosis obturans video by one of my favorite youtubers the moment I finally get to sit down after an obnoxious day at work?! Im so happy I think I just might cry!! Bless you good sir, bless you!

[@zovjraar]

Dude, same!!!

[@mariapantoja2801]

​@@zovjraarppppppppppppppppppppppppppppppppppppppppppppppp

[@PrplPrsn]

Exactly the same feeling and situation here!! Sooooooooo good!

[@Fazzer57]

Aww, hope you are ok. Sometimes we have to let it all out. Pour yourself a lovely glass of wine 🍷🍷

[@Just1Nora]

Thanks for pointing out why patients may "ignore" these conditions. I have many chronic illnesses myself and if you try to live with any sort of normalcy, chronic condition maintenance can slip farther and farther down the list of priorities, and you'd be surprised how much you're able to just put up with if your conditions worsen gradually. Thank you for being understanding, but also for doing the kindness of performing followup calls! These can be very helpful for conditions that may otherwise be undertreated due to business of patients or caregivers. My father is elderly with diabetes and Parkinsons, and I have to really bug him to let me trim his toenails, for example. He always apologizes for me "having" to do it, but I don't mind, and I'd rather I do it properly than have him get frustrated with a long nail catching on his sock and taking clippers to a place he can't reach or see well.

[@nyksik001]

How soothing is this man's voice!? So brilliant too. I just feel so relaxed and so informed I could remove wax with my eyes closed

[@catherineferguson7646]

He spoke about a little child. 4 that he treated and explained ow he told her about what was going to happen. Can you imagine his lovely voice comforting her. She had been crying coming in and stopped but at the end she cried again. 🎉🎉

[@morriganscrowgreenwell3037]

Wow, this "rubber ball" put up a fight! Fascinating video, really highlighting the dexterity, knowledge and experience needed to perform these kinds of procedures. Your patience, and tenacious determination, were clearly on show, and proved greater than the keratosis obturans. It's so good to see you posting again Neel, and I'd missed your fascinating narration, with so much information.

[@davidknight3249]

I realize life gets in the way but 3 years of not being able to hear? Your patience preforming these procedures is to be admired. I hope this patient and the one from yesterday keep their annual appointment.

[@w1984t]

What a nightmare, so glad you're able to give these patients some relief. 😊

[@paulinehawkins2207]

What can I say. Neel is the absolute best for difficult cases such as KO. I’v watched from the beginning of his videos years ago and so you’d think I’d have a wealth of knowledge, however Neel keeps expanding his knowledge base with new things for me to ponder over. I can’t even say these newly presented medical terms. Who would ever have thought that the ears were so complex. Thanks Neel for another one of your brilliant educational videos. Take care ❤❤

[@azamyahmad]

Hello there and welcome back Neel ! .. and as always you nailed it again and did such an amazing job ! .. hands down hats off to you and as always beautiful sharing uploading ! .. thanks again from Montreal QC Canada ! ..

[@AdalbertoRamirez-in7rs]

You are a magician at your craft. WOW YOU ARE TALENTED, HUMBLE AND PROFESSIONAL

[@pixeldoc7119]

Humble???

[@karagallagher3617]

Humble? 🤔

[@AdalbertoRamirez-in7rs]

Humble, meaning not proud or arrogant; modest:

[@lauren9667]

Amazing work, Neel! I can see why they’re your favorite - they take all your finely honed skills to clear the debris. Man vs. tightly compacted skin. I also think it delights you to bring relief to your patients. You are such a kind man!🥇

[@dianaott]

Mr. Raithatha, you are absolutely amazing and such a wonderful practitioner. This had to have been miserable for this poor patient, and you were so gentle with the process of getting that mess out of their ear. One of my favorite channels!

[@tictactoe325]

Dr Zhao would be in his element with this one

[@courtneymower8402]

I find him to be much rougher just tearing out patients ears

[@karagallagher3617]

​@@courtneymower8402That's true, but physicians can offer analgesics.

[@3701zeepool]

It would be done much quicker which is also comfort for the patient

[@3701zeepool]

In stead of endless suctioning, the hook would have done its magic 😉

[@debbiebriscoe293]

Hi Neel, thank you for this very interesting case. It looked like it was never ending with everything that was removed from this clients ear. All the information that you have given us really helps to understand the condition & it just shows how important it is to keep your ears checked if you have Keratosis Obturans Grate 1-2-3. With all the information you share people can keep up to date with any of these ear conditions as you talk about them all & I have learnt so much from watching your videos. Thank you so very much for sharing this information in this video 👂🏻❤❤❤❤❤🇦🇺

[@tonabranch7961]

This is one of the most interesting videos I have seen. I would love to have been able to do this when I was younger. I'm 76 now my interests cont it's to grow! Keep up the good work Neel. I wish I could get my ears done, but I live in the USA. Continued success for you 😮❤

[@catesmith3011]

You had quite the day yesterday. Well done! I hope they do return on time. 🇨🇦 The Rai curette was the star of the show here, in your so very skilled ands! 🎉🎉🎉

[@K4T4YOUN]

Another great video and absolutely a fantastic removal performed by the no. 1 audiologist expert, you! Thank you so much for posting this video. As always, your videos are great educational sessions about our ears and issues with this organ. Some call this condition of the ear, the disease of the tropics but based on what I have seen, it can happen to anyone, anywhere in the world. Luckily, My family and I are not suffering from KO, but my daughter and I have a mild form of Eczema and for a few years, my daughter was getting severe itching in her ears due to her Eczema and that caused recurring fungal infection in her ears. She is okay now but we are regularly keeping an eye on it and she makes sure not to scratch inside her ears and avoids water entering her ears. 🎉🎉

[@kellyadams8235]

Ouch! It's a good thing they had the absolute best taking care of them!

[@lisarobb3064]

Absolutely fabulous video Neel! Your skills are amazing. Great relief for your patient, I’m sure. Thanks so much to both of you for sharing. 👋❤️🇨🇦

[@sharoncastro1849]

Excellent job at removing the keratosis obturans Mr. Raithatha. I’m just fascinated with the wealth of knowledge you provide with all your procedures. Again good job Wax Whisperer! 👍

[@shauntaewhittington4103]

Your skill and knowledge is top notch! You are a credit to your profession.

[@papabear2515]

Wow! Glad you helped them. You’re so kind, talented and so good at explaining everything!

[@murielsmith3782]

Wow that was one big challenge in that ear as well as quite a mess it was not surprising they had a bit of earache it was also brilliant demonstration of your skill at the same time we had the advantage of listening to your knowledge of the working and treatment of treating a K/O thank you neel

[@resQfurppl]

that was massive! i do hope they come back every year so it isn’t as bad, he could end up with something much worse if he doesn’t take care of this as you advised him. Thank you Neel!

[@dianeburgess8699]

Your knowledge never ceases to amaze me Neel. You are so caring and impart that knowledge, not only to us, but to all the students watching and learning from your videos.👏❤️

[@Fazzer57]

Neel, would you ever consider becoming an ENT consultant? I know you would have much study to complete but you are so intelligent and professional in your work. You could train and hire a qualified audiologist to run your private practice or maybe work so many days as an ENT consultant and a few days at your own private practice. Its ok, you can have the odd Sunday off !!!!

[@Lore1968]

Love ya Neel! Always good to “see you”! ❤️

[@suek6477]

You did a wonderful job cleaning up this canal. If you're not already doing this, I wouldn't let these patients leave without scheduling a six month follow up appointment.

[@user-wr3vt8uq4s]

How they lasted that long I'll never know. Must not have been able to hear anything with that impaction.

[@johnsamuel221]

Super work there Sir. A real marathon

[@bridgethope4612]

So happy to have new videos from you! Thank you!

[@franstthomas3754]

Excellent voice over. Thank you

[@Marcia-RetiredTrialLawyer]

Thanks so much for posting your videos!!!

[@mikerage1011]

Can't even imagine how much better the patients feel after getting all that gunk removed out of their ears especially when their hearing comes back and doesn't sound like they constantly have ear muffs on. The relief when all that pressure is gone has to feel so much better especially when it gets as bad as in this video

[@veerlepeeters4559]

Mr Neel, you are a great teacher, maybe you should give lectures on the University , everything you explain is so good and informative and interesting that I am sure that students are learning much more and better ! My daughter is a university student and when I hear here professor’s explaining the matter , it’s like listening to you speak about your profession . I know that you are very busy with inventing new tools , but nevertheless you have lots of opportunities for the future . Great job done on this patient, hopefully he/ she will listen to you and come sooner for the removal of the dead skin if they don’t want to have severe pain. Thanks a lot for sharing this with us and the professional explanation . Can’t wait for your next session, see you soon sir. 🇧🇪😘

[@hevchip741]

That really was stuck. Good video

[@cashcali6869]

I really adore the bloody ones

[@marianne29902]

It's rather funny because when I 1st heard you I almost thought you were pompous. I continue to listen because of your knowledge and it comes to conclusion that you should be a surgeon. Instead of being pompous you are so well versed In your trade that I can't stop now listening to you. You are an amazing skilled Audiologist and I appreciate that you are willing to share all of your knowledge with us. I live in North Carolina but if I ever had ear problems I would take a flight and come to you. Thank you for sharing and being such a caring fellow. Please continue your great work for many years to come and God bless.

[@Tarabull7353]

You are the man Dr. Raithatha! What a treat for us to watch! This was massive and you made that mess look like an normal inner ear again. That had to have been awfully painful until the patient saw you. Always a pleasure.

[@karagallagher3617]

He's a doctor now?

[@kikarios7830]

😮 Is insane how much ear wax can a person have. I feel so relieved for the patient. Good Job!

[@leonaheraty3760]

Well done Neel! 😊

[@Lisa-nm1ti]

Have you ever thought of a calibration with Conor and the gents from Audiology Associates?

[@catesmith3011]

Collaborations are great!

[@rebeccalohnes4016]

Lots of interesting info! Thank you

[@caroleroseburgh1344]

Good Evening Neel.🙋🏾 Great Job 👍🏾.

[@kittytomaszewski236]

Wow, that was more intense than I thought it would be. You did an amazing job as always. I hope that the patient keeps on top of it, and it doesn't get this bad again.

[@danielhausser8038]

This is relaxing to watch. Especially if I imagine the relief for the patient.

[@Fazzer57]

Hi Neil, I think you should do wot the dentists and your spectacles provider do and send out an annual reminder for a check up. I understand you are private and your patient would have to pay (the same ss the dentist) but I do believe you would get clients to return. You could provide a reduced payment for the check up and let people know in their reminder letter or text messages - the same as the nhs, podiatrists, dentists and the list goes on do. It seems to be the norm now that we receive text messages for appointments from all the nhs departments. But if they do require treatment naturally they would have to pay. I still haven't registered with an audiologist, I keep saying I will. But once I am registered, I would appreciate an annual reminder letter for a check up. Remember people "Our Health is our Wealth". Just a thought. Kindest Regards

[@heathercashero6806]

Amazing job! I absolutely love watching you remove keratosis obturans!!❤❤❤

[@virginiagonzalez1138]

Great job! I know that was difficult.

[@byrongreen2167]

Dr. Neal..you’ve done another phenomenal job here cleaning this client’s ear…this ear was in really bad condition…very impressive video…👍👍👍👍

[@viviennejordan215]

This poor Patient, that's a LOT of skin. I Hope that they were Relieved of their pain, and will attend regularly. Good Job Neel. 👍 😊

[@TheNickyNik2]

This skin was so stubborn! Great job!

[@catherineharrison9892]

Thank you, Neel, this was fascinating to watch, but also enjoy your explanations as I learn so much.

[@KathyMcGannon]

What is the instrument you are using. It looks like a vacuum!

[@maryannheaslip2665]

Enjoy 😊 your work

[@RedStrikerBeetleborg]

i hope he felt better after that

[@rosalindabarrett7508]

Thank you

[@kaybee8145]

Wow! I felt relieved for this person when it was all pulled out! Oooph!

[@maggievanzyl4831]

What an excellant, fantastic cleaning of a sick ear!! Congratations! Very well done!!!! ❤

[@daniletourneau6182]

I love listening to your nonstop wealth of information!!! Your love for your field of work is inspiring (as well as refreshingly contagious)!!! ❤❤❤

[@charlenereilly96]

Watching this video was amazing.

[@Lost_Again_]

This one was awesome!. Thanks NeEl!

[@MelissaCarrollSasnett]

Neel OMG THOSE HAIRS I JUST CANT 😮

[@susandonoghue7933]

Wow !!! What a craft you have , what a relief

[@kiwigirl6135]

My word, what a challenge… that takes skill ❤

[@justjulee9135]

Really amazing to see you work and fight against that skin plug. It really does resemble a rubber ball the way it bounces back even after you've been tugging on it! Great job!

[@macreade1]

This is a great video, and your narration is fascinating.

[@kabbafamily615]

I just like the way he's explaining it ❤❤

[@AppleCrostada]

7:32 you can actually see a blood vessel pop out of the granulation tissue 😳😳

[@zovjraar]

Thank you Mr neel!

[@suitov]

I would bet women are more willing to get it diagnosed and treated earlier, so Neel sees more advanced cases in more men.

[@janehelbert7551]

Brilliant job Neel!

[@tangiessubtleluxuries]

Wow! It was a lot of dead skin on this patients ear. Thanks for the explanations. You for such great work!❤❤❤

[@arleenadachi1220]

Fascinating. Thank you for all the info.

[@dawnwalus6777]

I can’t even imagine having something like that in my ear let alone the pain! I’ve never even had an ear ache!!

[@LorraineCollier-z3x]

Neel This was am awesome Grade III Keratosis Obtran to watch, you did a fantastic job removing the debri. Lorraine Love by the bay

[@lakegirl3664]

Very interesting!

[@DutchDuchess]

I appreciate the full screen of the treatment. No desire to share the screen with nonsensical commentators. I don’t understand why that is done.

[@diannaroeder9661]

Does this ailment run in families? Interesting case and I enjoyed watching the procedure that take longer 😀

[@BadgerGaming_Yt]

21:37 why does the white thing look like a tooth😭😭

[@Nightsisters_Clan]

That was one of the bloodiest videos I've seen of yours, and I'm here for it! BRAVO and I doubt you nicked them. They were splurting blood from the start. So good to see the other tools earn their keep.

[@dixierae6063]

I'm a bit confused. Neal is an Audiologist not an ENT DR. I was under the impression that procedures like this were referred to an ENT.

[@robinettetaylor6095]

What is the difference between keratosis obsturan and cholestertoma? Pardon if the spelling is wrong.

[@davidparry5310]

As I understand it, a canal cholesteatoma is more localised than keratosis obturans, and is not necessarily accompanied by ear pain as such (one of the diagnostic criteria for the latter complaint is acute earache). On the other hand, keratosis obturans, unlike a canal cholesteatoma, is not necessarily infectious, and doesn't release proteolytic enzymes (if I'm not mistaken).

[@robinettetaylor6095]

@@davidparry5310 thank you

[@doreenbieler9176]

Es bedarf noch einiger Trainingsstunden

[@sollasemusic8322]

6:50 Some studies have found that men are more likely than women to put off seeking medical care until things get worse, at least here in the US. If that’s the case in the UK, and since your colleagues are referring the more severe cases to you, that might explain why your patients skew male.

[@peggyharris8105]

Great video

[@crazyleyland5106]

Was that a tiny filiform wart in the ear canal near the end?

[@rbnhood39]

Neel are you able to increase the suction on your tube?

[@geighsha_girl_writes]

I LOVE the KO vids!!!!!!!!!

[@arourtutor8833]

Hello Mr. Raithatha. My name is Lucky Tutor. I'm from CA, USA. I'm just wondering because these cases would seem that your patients are in extreme discomfort, why they wouldn't have visited sooner? No judgement here. I'm just wondering. Your cases are very interesting and it would seem that you could lecture at university if you have not done so already. I'm just a lay person but enjoy your videos immensely. I'm fascinated and learning. It would be nice to hear your thoughts regarding my question. Thank you and keep well. Lucky

[@loisshelton5182]

I can't imagine that person NOT having pain. What a horrible mass. Good job getting all that out. Hopefully the patients hearing will be normal.

[@laurenburridge2866]

Was there a “wart” inside the canal????? I watched Alto hearing video and thought this looked the same??? FABULOUS VIDEO…. How long in real time did it take to do????? And 🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻

[@BadgerGaming_Yt]

I'm doing more watching than listening fr.😅

[@kathrynmettelka7216]

The patient must experience great relief. The keratin mass was extraordinarily dense and must have been painful to restructure the ear canal. Lots of pressure hurts.

[@andreiareis6069]

Does the patient not feel pain?

[@icare4you123]

Worst I've ever seen. It's past my bedtime but I had to see how Mr. R. pulled this one off. Fine work. As usual.

[@boxermomma15]

That was amazing. Bloody good job (no pun intended) 😊

[@avaph0bic]

i feel so terrible for this patient! the color of the discharge being tinged red looks so painful. :( great job

[@allsortsdiane8086]

Absolutely fascinating video Neel. Unfortunately it picked the wrong audiologist to fight 😂. Thank Q for uploading this video I was glued to my screen watching, I was fighting with you aswell against it. Sometime's I find myself wriggling around in bed as if it was me standing in you're shoe's. There is help for me somewhere out there.😂😂