887 - Massive Keratosis Obturans Removal

[@lisasimpson5961]

I suffer mental health and I just listen to your voice and watch these extractions as I was a nurse before and I’m relaxed for the day lol Thanku good Therapy for me have a great year

[@suecapra5005]

Would a tool shaped more like a soup spoon do any help. I was also thinking to have a rubber grip on the forcips help to hold on to the tissue? Thank you for your great videos.

[@emg0930]

Another awesome video!! Would it be possible to see a side-by-side comparison of the Henckel and Crocodile forceps in a future video?

[@queencars802]

I know these arent really your favorite to do since it's like tug of war sometimes but I do LOVE any of your vids with keratosis obturans 😍

[@Claudiaxyz]

The 2 day trained practionets, will they be able to remove/diagnose it?

[@AuntieBS90]

Love your videos. The explanations are a great. What would you recommend for itchy ears?

[@viviennejordan215]

Medical grade Olive Oil, Earol Spray, from Pharmacists or Amazon. EarCalm Spray, same sources. on older videos, Neel and Rhys had the links to Amazon. Connor of Durham Hearing Specialists still has the links for the UK, and the US.

[@viviennejordan215]

Sorry Delia, EarCalm is Helpful for dry skin and itching in the ears. It has added Acetic Acid to Calm any itching, plus the Olive Oil, which moisturises the ear canals.

[@jaynemalanka831]

Wow that was a huge plug!! I know your patient is so relieved to have that out. Great job Mr.Neel

[@mericewinters3891]

V

[@jingerjar1365]

Why aren't you weighing the wax anymore. I wanted to see how much. Also I watched entire film and the ending was so satisfying. Thank you for a difficult job well done

[@RenatoMC10]

first time I see this more robust forceps being used, I think it must be due to the extreme case of this patient. Beautiful work!

[@nook12003]

You know Dr Neel is serious when he brings out the big guns!!!!

[@evennotodd]

That second set of forceps was like send Rambo to do the job. Good work.

[@knoophouse]

The most lovely way to fall asleep. Voice of an angel I can only imagine the relief that person must feel ! Well done!

[@connieirwin8117]

I bet he could hear so much better. Prior to the removal what amount of hearing loss did he have? Maybe 85%?

[@connieirwin8117]

😃

[@greenbeanplans5197]

I have a weird question. What did people do hundreds of years ago when this happened? Did just stay in pain and assume they went deaf? Was there a way they treated or diagnosed this?

[@joemckenna5924]

Awesome video keratosis obturans are my favorite videos

[@Heather-kx6tt]

You always do such a wonderful job! I can imagine how much relief your patients have once you are done. I really want to find someone locally who does this. Just not sure that anyone does.

[@jobbe100]

I can tell you the relief it gives in incredible, he did such an amazing job on my ears!

[@Heather-kx6tt]

@@jobbe100 I’m in the US so unfortunately I can not have this done. Maybe one day! I’ve never been so curious what is in my 46 year old ears until now🤣

[@jobbe100]

@@Heather-kx6tt the only way I can possibly describe it to you, is it’s like having an itch scratched, that has never been scratched before! 🤗 Fingers crossed one day you will try it! X

[@davidmyran3826]

@@jobbe100 M

[@mmowec8159]

Wow....this one was extremely challenging. I'm so fascinated by these videos. Thank you for sharing.

[@debrabluford]

Does it smell sour?

[@resQfurppl]

Dear Lord!! this poor person!! this had to be so painful! why do people wait so long? til their ear is completely blocked & painful? do they simply don’t know what to do? or scared? perhaps both??

[@priscillarobinson7740]

This was one of your best removals. You had me on the edge of my seat the whole time. Yes, I’m sure your patient was surprised when he saw what you removed. All of that redness in his ear canal looks sore. I really enjoyed this video. See ya next time too. 🇺🇸

[@俺のダークハンド]

、

[@miriamsamaniego3335]

It was a nail biter for sure!!

[@barbaradent201]

B V 0 911

[@katherineleonowski7289]

Gee....they even have rotorooter for the ears...amazing!!!

[@divyasaxena8694]

Patient must had pain a d irritation during treatment 😔

[@2plopes]

Is there different types of ear wax or is ear wax just ear wax

[@viviennejordan215]

Different. Some people have an overproduction of skin/wax. Some have dry wax, some have wetter wax, due to genetics.

[@jennyl6649]

A new instrument and it worked so well. That was one wicked plug & it left the ear so angry. Is there anything the patient can use to soothe the canal? Terrific Mr Neel!!😷😷😷😷 Have a lovely weekend, stay safe.

[@lillteleah]

I wonder if the inner part of the ear that looks all raw and chopped up will eventually heal and look “normal” again?

[@viviennejordan215]

If it looks red and sore, as there is so much wax in the ear, it presses against the ear canals. This can cause pain, and the blood vessels are near to the surface of the skin, so we see redness. Redness can be inflammation also. Once the ear is cleared of wax, the pressure is gone, so the redness will calm down, and the skin should go back to normal.

[@ryktype]

Oh my, hope the patient feels well

[@viviennejordan215]

Hi, they must feel much better!

[@kathleenbeaver8249]

Thanks for the wonderful commentary! Fascinating! Is it possible to use a more powerful suction? Kathleen

[@jenniferwitsken7531]

I never knew this problem existed. Thank goodness you’re able and willing to help these patients who suffer from excessive ear wax.

[@miriamsamaniego3335]

Yes! The pain that it must create for the person who suffers from this is quite astonishing! I think it’s dreadful, that for all of his expertise and schooling that Neel isn’t a doctor and therefore cannot prescribe even some numbing medication, but there are nurses there who can!! That seems off balance to me.

[@miriamsamaniego3335]

Wow! Rereading my reply to your comment, I made an audiology quip at the end! I’ve been spending too much time binge watching all of Neel’s videos 😂😂

[@billierodriguez723]

@@miriamsamaniego3335 I’m

[@saraborg2751]

DANG that was awesome!!! My favorite type of removal to watch. I know you say that you like doing the removals that are right on the eardrum-do you like the keratosis obturans procedures?

[@karlamayennecipriano5366]

Omg... I can imagine how painful this was for the patient...

[@michaelray5595]

Oh my!!!! That definitely has to feel better, even if a little uncomfortable after from the removal.

[@sigma80]

I worked for Schott AG for years, and part of my job was inspection and measuring things. That plug was a solid 230 mm (2.3 centimeters) and some of the small outshoots were about 250 to 270 mm easy. That ear canal before the eardrum was widened out hugely for the small entrance and cartilage portion of the ear canal. Of course the otalgia (Ear pain) was bad, it (Keritas Optrans) had increased the size by one third or more. They needed to get back to an ENT to check it out before the skin clogged it up again.

[@KatRo13834]

I would love to see a continued compilation of forgetting objects. Is it ever bugs? I know, I'm gross, but it's just so satisfying.

[@cicelybega5419]

Wow! I wonder how long it took to build up that much dead skin? Assuming the other ear wasn’t affected the same way?

[@penbrown4049]

Ooh that looked sore Well done with your perseverance and skill

[@antoniodelgado9233]

Do you post pics of the wax you pull out when your finish? Brooklyn, NY. USA

[@viviennejordan215]

In His past videos, yes. He has started posting removal display again, He can't always do it, when He is busy.

[@antoniodelgado9233]

@@viviennejordan215 people like me, always asking for too much. Not realizing how much work us involved. Thank you.

[@viviennejordan215]

Antonio, what a Lovely, Thoughtful Reply, Bless You!

[@antoniodelgado9233]

@@viviennejordan215 Bless your too

[@kellyburke1326]

I just cannot imagine how that felt being removed! Instant relief? Pain? That was just insane! Thanks for sharing these interesting cases. Love your videos!

[@kenanaslankaya2723]

rudşlhönı

[@bobsmith1292]

That belongs in the wax museum! 😂

[@sherrihinton8567]

Neel went to battle with this one

[@viviennejordan215]

And Won! Always a Winner.

[@justjo5379]

Wish there was a love it button! I was pulling that with you!

[@santiaryartiaga2335]

Mr Neel haces un excelente trabajo . Muchas gracias y felicidades . Me fascinan tus videos , bendiciones desde Nicaragua 🇳🇮

[@cindyw5435]

Now THAT was a satisfying removal!

[@Tarabull7353]

You amaze me! I can watch your videos for hours and it's quite comforting to fall asleep to your very soothing voice.

[@MrMadieu]

Wow, that was a Jurassic plug. I was relieved for the patient. Well done Dr Neel. As usual, top job✔️

[@mellissarichards5609]

E5 ,[ o

[@mellissarichards5609]

9, p. O,I,

[@kellyjoiner4418]

Niiice job Mr Neel, not to mention an impressive haul. I know hearing was greatly improved having that outta there. 🌞

[@clarencesturdivant7928]

I watch for entertainment and knowledge. I have watched all your 1,100+ videos and enjoyed them all.

[@amymac8998]

Oh my word! That wasn't challenging it was a battle Neel 😯. Brilliant video yet again 😊 😊

[@Diana-yr8wp]

Wow I bet you that felt better! Fab job Neel 👍🏴󠁧󠁢󠁳󠁣󠁴󠁿 xx

[@caroleroseburgh1344]

Hi again Neel 🙋🏽. WOW it doesn't look like that is going to move. And IT looks very painful 😣. OMG 😱.

[@jenniferlehman326]

Hope your patient is now on a plan to return a year or less if they feel any fullness in their ear to have it removed. Hope your ears are doing better as well. Stay Safe Everyone!! Namaste !! From Ontario, Canada, Jenn. 💖 💖 🇨🇦 🌟 🌟 🌟 🌟 🌟

[@viviennejordan215]

Thank You Jennifer, You Stay Safe and Well too.

[@dunaseifert8826]

Wspaniala robota. Fantastiko.

[@Will-rw8mf]

the build up to the removal is literally edging me oh my Lord

[@suekuba3617]

My goodness that was like pulling a big fish that you were reeling in for an hour out in the ocean great job thanks for posting

[@49polly]

That was amazing Neel! What a professional!🤗😊

[@geojinaochieng6587]

I like these videos deep in the night when am.just resting home🥰🥰🥰🥰🥰

[@kathrynmettelka7216]

Epic job. Must have been tough on your fingers to pull all that skin out. Since the patient was impressed by the size of the plug, I hope he returns regularly so he never has that much build up again.

[@shellcase20]

Ear Ache Question: Can a child actually outgrow having ear aches? My sister used to have terrible ear aches caused by strong winds to nearby fans. Yet when she hit puberty, they just stopped happening. Did her growing up stop them?

[@KaylaMarie_]

Same thing happened to me. I had terrible ear aches as a kid, but they stopped in my late teens.

[@ollierose1783]

I had ear aches because of my adnoids, I’d always get ear nose and eye infections because connections

[@lorib3926]

Mine ended with tonsillectomy

[@t-r-e-x452]

Odd question: what other animals, besides humans, produce ear wax?

[@viviennejordan215]

Dogs, Cats, Guinea Pigs. Guinea Pigs need a lot of Regular Grooming, a Lot to do for the little darlings, poor things.

[@t-r-e-x452]

@@viviennejordan215 I was thinking less mammal. For example, reptiles & birds.

[@grrlsouljah]

@@t-r-e-x452 yes, chickens’ ears can get blocked up with ear wax and infections as well

[@t-r-e-x452]

@@grrlsouljah Interesting. I assume the procedure of removing earwax from an animal is different from a human?

[@grrlsouljah]

@@t-r-e-x452 from what i can tell it’s more like blackhead extraction

[@dawnthemetaldetective3083]

Excellent job! Not sure I would have the patience to do this!👏🏼👏🏼👏🏼👏🏼 I hope you have a great weekend!!!!

[@katstephens6571]

You have the patience of a Saint. I'd get so frustrated I'd go in w a melon baller. That procedure looked so painful

[@rgober60]

Massive plug!! Wonderful job young man!! Enjoyed every minute and knew you'd get it out!! Great job Neel 👏 👏👏👏👏 Take Care and stay safe. 👍 👍👍👍👍

[@viviennejordan215]

Loving the Close up view of the Henkle Forceps Neel, got so excited, lol, because we never usually see them in use, so Thank You, that was a Treat!

[@viviennejordan215]

And what a Magnificent Specimen, worthy of being in an Archaeological Digs Display, lol!

[@viviennejordan215]

Looks like meat filled Rigatoni, lol!

[@tanyawilliams138]

This was a great video! It was so interesting I watched this video twice.

[@cindyvandenabeele706]

You know it's a stubborn was when you need to use all the tools to remove it !

[@theresemcclellan158]

The cerumen midwife saves the day! Please don't tell the patient to push, he's libel to give himself a hernia. All kidding aside, Neel, you did an exceptional job and the patient is so lucky to have had you there. Thank you and the patient for sharing.

[@paulinehawkins2207]

Fantastic job Neel. Really enjoy watching KO getting removed. It’s a real tug of war. Take care.

[@jennifertaylor9775]

Kudos to you, Neel, for seeing it through to the end. Several cups of tea & a whole packet of Hobnobs to recover!🤓👍🏻🕊

[@viviennejordan215]

Sounds Good, Jennifer, chocolate covered ones? Yum!

[@candacecurtis5739]

Excellent! Like a hot knife through butter? Not a great analogy but I get your point. I grin at your analogies, and I am really happy for your patients, having access to your talent. Infant or paediatric Henckel forceps are what they use in the Orient quite often. I have a favourite Dr from there, really interesting!

[@viviennejordan215]

Hi Candace! Hope You're Well. I know Dr Zhao uses cupped forceps, Great to know that they do a smaller size. I like to watch His Cholesteatoma videos, Dr Xing is my Favourite in China, He also has done videos on Cleaning up Cholesteatomas, a little while after Surgery.

[@deanawells4395]

I wish we had someone like this doctor in my area

[@jeannettebray2894]

Wow! This one was tough, but again, excellent job! So happy for your patient!

[@kknutsen49]

Excellent video. Thanks for posting

[@stephaniebrontejoyce4463]

Wow that’s huge

[@mariaday8040]

Amazing job Neel !!

[@acm9711]

Yikes!! How can a patient just ignore, ignore, until it hurts so bad you HAVE to see a physician?? We’re you able to hear at all when all the gunk was in there???

[@PrettyUnique90]

I could do this job. It’s so satisfying

[@HaulARita]

Awesome video

[@csk5654]

Holy Moly! That was HUGE! Fantastic job removing that Neel! Very cool to see a different kind of forceps too. Question: How can you tell the difference between keratosis Obturans and a cholesteatoma? TYFS Cindy'

[@viviennejordan215]

Hi, a Cholesteatoma can be caused by a Retraction Pocket on the eardrum, causing skin to collect there. Eustachian Tube Dysfunction can affect pressure behind the eardrum, causing the top of the eardrum to Retract. Cholesteatoma can form in the ear canal, if there is a dip in the base of the ear canal, a cavity. Wax/skin can amass there, and a Cholesteatoma form. If someone has a dip/cavity, it is Important to be kept clear of wax/skin.

[@viviennejordan215]

I've bn trying to remember what the dip is in the base of the canal, it's a Crater, lol! I knew it was there, and it came to me, out of nowhere, Oh, the joys of getting older, lol! 1 second it's there, next second, it's Gawn, ha,ha,ha!

[@morganbarfield108]

I have an ex who basically lost his hearing from clogged ears. I poured peroxide in them to see if I could get anything out, and it didn’t bubble, it foamed up and when I say as soon as I put it in there the peroxide foam shot out, like mentos in a coke. I told him he had something serious in there. I would be a qtip just at the edge and it would be redish brown. I told him he needed to go get that checked out but then I broke up with him so I don’t know if he ever did, but after watching these I hope he did, because there is no telling what huge ass plug he had in there.

[@soulfulsue]

Gosh what a tussle you had! I realised I was clutching my tablet so tightly while watching this 😀 well done tho🙂

[@tinkagain]

I think you're a wonderful doctor! I haven't heard other ENT doctors talk about the problems with tinnitus and using the vacuum tube in the ear. Smart! I have severe tinnitus and my doctor didn't even consider that. it was so loud that the pain was horrible. Kudos

[@wanderingrachael]

he's an amazing audiologist who shows more knowledge and care than any of the ENT specialists I've worked with. this just proves that other allied health professionals, not just doctors, can truly help people 🤗🙏🏻

[@みーくん-o1z]

産毛の処理は、しないのですか？

[@彭玲玉]

你不會使用其他工具嗎？沖洗讓耳朵更難過。

[@rosariadetullio8950]

Ma cosa sono?

[@justinnava3364]

This makes my ears hurt

[@karenmckillip8685]

Wow that was crazy insane. You did a great job!

[@naomisgram1]

That one was a difficult battle, well done!

[@misska7535]

I literally got anxiety ( have it but this vid kick it in) this was crazy. I'm glad you got all the contents (skin) out. I absolutely love skin peels, I feel horrible to say that bcuz I can imagine it's agony for the patients, ugh.🤷‍♀️🤦🏻‍♀️💔🤔😥🤬 Yet again Neil you did a great job. God bless 👑🙏🏻🕊💛💛😉👍🏻👏

[@beverlyt.5526]

Bravo 👏! That was AWESOME!!! As a Nurse I just Love How This Helps People Sooo Much AND Gives Them Relief 💕 🙌! Great Job! Upstate NY here ❤💚💜🖤💙💛

[@dh6565]

Wow,now he is probably able to hear Colors

[@tracysaenz9848]

This is so fascinating. Thank you for sharing and teaching.

[@JustTheThree3ofUs]

Wow! You did a fantastic job. I really like how you educate your viewers as we watch. I've learned a thing or two. Thank you!

[@divyasaxena8694]

Sir u also inspired me Before 3 year to clean my ear and I got a huge,

[@rizikrizik1395]

They always have otalgia but never come in until the wax is literally busting out their ears. Weird

[@lauverr3808]

To be completely serious, ever since I've started watching these videos my hearing has gotten a little worse and I feel like I have a potential ear infection. Lmao. My mom is suffering from the former as well. 😂 Might be a sign to go in somewhere and getting a look. Wouldn't have even thought about it if it wasn't for thus.:) thank you! ❤❤❤❤

[@lindaswenson594]

Awesome work!

[@isaacmurray8756]

0:01 Me when the Keratosis Obturans doesn't come off the EAC easily

[@carolynandrews8474]

Thank you. Very interesting video

[@debbiefowles4129]

Fantastic video! Saw a new tool.

[@PreservationEnthusiast]

Massive plug!!!! Email this to Rhys and Connor. Rhys is gonna be gobsmacked. I think he reckons he got the best plug!

[@FlyTubeMaster]

14:30

[@viviennejordan215]

I like to Savour and Appreciate the work, the Technique, "It's All Good!"

[@mariestreeting4213]

Unbelievable. You did such a fantastic job. His hearing must have been greatly improved. Hope so anyway. Best wishes.

[@sassy1970sy]

That was awesome! 👍. Very satisfying. Poor patient, must’ve been so painful. You did a fantastic job 👏👏👏

[@jimileekelso9120]

That was exhausting

[@karenmckillip8685]

Absolutely amazing all that was in the ear.