FOLLOW UP: Canal Cholesteatoma Patient Is Back
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- Опубликовано: 16 окт 2024
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Hello, I'm a nursing student and I enjoy learning medical prefixes/suffixes as it allows me to understand what doctors and other nurses are talking about. I was wondering why, is it called a cholesteatoma? Would that not literally translate into "tumor of cholesterol and fat"? I apologise if this seems like a silly question, but my studies don't cover cases like these and are more on generalised hospital care.
Hi Peko, you are correct, -oma = mass, cholestea = would imply cholesterol or fat or something. It's a misnomer, it probably got the name from middle ear cholesteatomas which often look white. They're really just masses of dead skin.
As far as I can tell, it's just a case of it being misnamed originally and never getting the name fixed.
"The term cholesteatoma (“chole” representing cholesterol, “steat” representing fat and “oma” meaning “tumor”) as we now know, is a misnamed entity that was originally termed by Johannes Müller in 1838 under the flawed belief that the lesion was primarily a tumor of adipose tissue"
- doi: 10.1007/s12105-018-0915-5
@@DurhamHearingSpecialists Thank you very much for the reply and explanation. I thoroughly enjoy your content as it is both entertaining and quite educational, so thank you for providing these high quality videos for us to enjoy.
Wow Conner how aweful for this patient! great job though!
@@dawnwalus6587 Thanks Dawn
The iceberg emerging was mind blowing.
I am still in 😮 so impressive
Yeah it was, when I saw more and more coming out I was like 😦
Agree! Wow!
The way my eyebrows shot up when I saw just how giant that plug was down in the crater!
I'm a new viewer to the channel - popped on over from Audiology Associates and I'm now binging all of your stuff as well. Really enjoying learning more about ear pathologies!
YES OMG I JUMPED FROM MY BED GOSH
Klinik-al-biruni has good stuff.
wow that was amazing , my jaw dropped when the full horizontal plug came out
Wow, that was a battle! The size of the debris that eventually emerged was mind-blowing. Thanks so much for these educational videos, I really appreciate what you do.
Thanks Yvonne
Hes just wasting our time because he can. I don't fall for that bullshit.
I felt the frustration you were having. The anticipation was tremendous!
Speed up the video, it helps.
If the person doing this would stop acting like they dont have Ahold of the freaking wax,its all for show,he has ahold of the wax but chooses to drop it over and over.
@@bigredc222or stop acting like a freaking slow poke
Oh, Conor. I’m gobsmacked. Only 12 weeks to build this up? I think your patient was brave, as there really was nothing else for it. Might we hope for another update after ENT makes his or her recommendation?
Me too, we we're quite surprised. I'm hoping he'll come back a few more times, he should be fine for the surgery
Is it frustrating to do a follow up to find it full up again
This is one of your MOST interesting cases.
That lower cavity is a nightmare to keep clean, even to a complete layman.
You explain your work well, i get the sense that i understand something new every time.
Mission complete! Am curious about this Person´s follow-up.
As an OR nurse I’m always astounded there isn’t a micro-articulating alligator forcep that you can use-- sounds like a million dollar invention!
This was fascinating, and your patience is immense. Thank you, as always, for sharing.
love your channel so much! you’re actually the reason i want to do something related to this for a living in the future!
Thankyou, I wish you the best of luck!
What a job that was getting all that material out of the ear. Amazing and concerning pathology. Well done Conor and thank you for the video.
Holy cow! That was one huge “wax burg!” Excellent work, as usual. You are incredible - your knowledge and precision is exemplary. Yes, please do longer videos.! 😊
Conor, it may be frustrating for you, but I always enjoy your longer videos. I never fail to learn something from your narration.
Thankyou Scott
Wow please do an update if you get one and I hope he comes back one and a half to two months that he understands what will happen if you doesn’t.
Hope he realizes that he so so lucky to have found someone qualified to do this. Great video and awesome work. Thanks for sharing 👍😊
Thanks for your kind comment Sandy
I’d like to see the plug once removed to get an idea of the actual size.
Oh my, I really feel for this patient. Hope the surgery comes sooner rather than later.
Once again another brilliant video Connor. Well done on clearing the gentleman’s ear, I’m sure he was very thankful.
Thanks DT
wow I recently watched the original video and it is frightening this patient hasn't yet seen the doctor. That is really sad.
Dr Zhao has a very good tool that he uses when the ear hook isn't able to remove the exact same sort of material as this chap has. Definitely worth a look if you haven't seen it before.
And Neel The Wax Whisperer has a modified curette too that would work.
I think Dr Zhou uses a facial nerve hook usually used in surgery. It seems to make things a bit easier but it’s always a struggle. I love how educational your videos are. Thanks.
دكتور تشاوو طبيب رائع وماهر جدا...ولايضيع الوقت على نفسه وعلى متابعيه. ما اشاهده هنا مضيعه وقت...❤
@@فاديامحمود-ق9زIf you feel your time is wasted here, go,away and never return. Your comment was rude and unprofessional.
That is incredible. It filled up so quickly. I held my breath for the last part, twas huge! 😊
Yes please, keep us posted on this chap.
Kind Regards
Non medical student whom takes great pleasure in learning and watching you clean out ears
O geeze that makes my ears itch just watching this i can imagine how the patient feels.
Great work Connor, I felt your frustration all the way through that! Incredibly difficult to do, but handled fantastically as usual 👌
Thankyou Richard!
Wow! That needed a lay down in a darkened room with tea & biscuits afterwards, Conor! 👍🏻🕊
WOW😲 YOU ARE AN AMAZING DOCTOR………absolutely in awe of this level of care!
We love some 15 minutes videos from you Connor. Me and my wife love to watch you and Audiology Associates. Your knowledge and insight is really engaging and it feels like entertainment and a learning opportunity. Also your humbleness is refreshing when you say you don't always have the answer and ENT will need to look into a case. Please more videos if you have the time
Dr Zhao uses a hook-like tool with a large scoop on the end specifically to remove stubborn debris like this. You might want to check it out.
انه اروع طبيب في اختصاصه..دكتور تشاوو
You did a wonderful job! I hope he has gotten the ent doctor care. Hope he watched this fabulous video. You are very honest, caring and helpful.
Wow, this is the best camera resolution I've ever seen!
Thanks!
agree! There are other popular audiologist channels but the camera work, detailed explanations and thoughtful educational posts make this channel the best IMO
@@jenniferweed2552 Thanks Jennifer
Another great video. Crazy it's occured so swiftly! In a way his attitude may help him (as long as he's not in denial and understands) but I've had a few surgeries due to complications from being chronically ill and I tend to be quite non chalant and very much 'ok here goes'. I tend to find people who have no health issues tend to be the ones more prone to worry etc. It gets me down at times of course but wondering if other things have occured with this gent. Hope he gets relief soon. Tis quite a guagmire!
Thanks Ethereal, good to see you
I dunno why I’m watching these videos again before bed, but here I am.
I really enjoy the videos along with your commentary.
Thankyou Lori
You've probably heard this before, but Dr Zhao has an instrument that could be what you're looking for. It's a hook with a longer angled portion at the end, a bit more like a hockey stick, and in his case happens to have a sharp scoop as well. When you know the dimensions of the pit, this longer hook could be ideal.
Really interesting video. So much debris in a short amount of time. Almost unbelievable isn’t it! You did a wonderful job in a difficult situation. Thanks for sharing. I hope he comes back to you at least one more time. Xx
Seems like you could have used a Jobson horn to get it out instead of a sharp hook
I'm having the worst heart Palpitations ever!!! I've been watching a lot of different videos, along with watching my Pimple Videos, I can't ever give either up, I think I need Therapy!! It amazes me how ears can actually get this bad, I've never had anything in my ears, and I have to say, thank goodness!! Thanks for all the Great Videos, and Thank your Patients for allowing us all to experience this with them.
How does this even occur? Is the pit just a special anatomy with this patient or was this caused by an illness/infection?
Wow! No wonder it didn’t want to come out of there! Holy cow! Great job Connor. Thanks so much to both of you for sharing.❤️🇨🇦
Thankyou Lisa!
Rhys Barber gave you Kudos❤
I love these videos on cholesteotoma! Another great job, Conner! ❤❤❤❤❤❤
I so enjoy watching his videos - he takes a long time trying to help us understand what he is doing - I am not medical in any way do I appreciate the explanations along with the pictures!!!😊
Great extraction and super narration, Coner! Hope this gentleman gets the care he needs from ENT. Soon 🙏🏼 Thanks much! ♥️🌹🌟
Oh, my goodness! I like so much how you are explaining everything!
That's a hard Cholesteatoma to clean. You are very gentle doing the procedure. Some Cholesteatoma I saw were bloody to remove. Thanks and take care.❤
Wow, that sure is an enormous crater with so much debris. Persistence paid off. Thank you for update.👏❤️
Very interesting video! I love updates especially serious problems like this guy has! Thank u !😊
You could check after 1 week on the growth - but there may be a cost associated with that. Excellent video, and the narrator is excellent! He should think of doing narration for the film/tv companies in Britain, or America - the yanks would love the accent!
I just remember how Dr. Zhao maneuver his hook digging into the crevices of the eardrums. It's always bloody but he was able to get the Cholesteatoma. Good work Connor. It was hard procedure to dig out those hard Cholesteatoma out of the ear. More power to you.
Wow! That was way bigger than I expected... I think you did a great job. Considering the situation, and how deep that was, I believe scraping that was unavoidable. Good work...😊
Thanks Darrell
Do the patients not often watch these afterwards? I’m sure if my doctor made videos I would love to see mine
Hey Connor, always good to see a new upload. Especially when it's an upload like this. You're so awesome how you go the extra mile to help people/patients.❤
Thank you for another great upload.
God bless 👑🙏🕊💜💜💜🙌🏻🙌🏻
Thanks KA, hope you're well!
@@DurhamHearingSpecialistsHello Conner, I'am well & you? I hope you're feeling good as well.❤ Ty.
Great upload.
God bless 🙏🕊💜💜💜🙌🏻🙌🏻
You really are amazing Connor. If I had any issues with my ear I’d be driving across the border to have you attend to it. That was a job and a half to be sure
Brilliant care, Conor! I really enjoy your explanations and analysis of your care! 🌟🌟🌟🌟🌟
THANKYOU for your update.
Omg 😦 when you pulled out that last piece it’s massive
As an RN in the Neurosurgery Theatre (as you Brits call it) a down biting rongeur (kerrison or pituitary) so once you pass the ridge you could use the end of the ronguer to press the debris away from the wall.
-A malleable/ribbon (probably need 2 mm depending on how wide the canal is) which you can fold as close of a 90 degree turn as needed, its malleable.
-Perhaps even an angled nerve root retractor, depending on the area of the canal you had available.
Also a “pusher” curette. The cup face is angled away from the handle to push the tissue away. Contrast to a straight or puller curette
Oh, this one made my ears hurt! Best wishes to this patient.
Will that hollow canal be filled out or is it going to be stay like that??
😮 WOW !!! My goodness!!! 😳 love your channel you always have the most amazing cases. Thank you for the update was not expecting what came out. Have a great day
Thanks!
Definitely want to know the follow up
Hi Conor 🤗 thank you for sharing this challenging but very interesting case..hope they can sort this patient's ear out sooner rather than later..I found this video enjoyable and educational and the visual is excellent as always👌Thanking you again Conor and take care.😊
Love the ending .....did not expect that much to be down in there !
My brother had this and had to have an "obliteration operation" to remove his internal ear on his left side as it kept getting repeat infection and would have killed him as it got into his skull. Thank you for your channel as its very interesting to learn more as he had it when we were both kids so not really internet searching it then. Also tell your patient the longer its left un operated on the worse the outcome is. My brother had multiple operations over years and years before the final one to remove his inner ear. My parents were on forums of other families affected, and one poor kid in america had nerve damage as it had eaten so far in, as they had to fundraise for it that allowed it to get so extreme.
Love the up date wish they all did that ❤😊
I really enjoy your videos they are very educational but also help me sleep on difficult nights 😊
Blows me away how much patience you ents have. I'd be cussing the whole time doing that lol
I love watching your videos. It super amazing how the ear works. I never did think I would enjoy watching ear cleaning videos lol.
This has been a fascinating case! Thanks for the update!!
I’m new to your channel, I found it while watching Mr. Neel Raithatha. He has a eyelet looking endoscoptic tool that I think would have helped you with this one. Excellent work and very educational! Subscribed!
You need to try using some curettes. That hook and suction are pretty inefficient. You must have a lot of free time.
I had a cholesteatoma removed from my ear..it had attached to my three little bones and ate two of them...the surgeon rebuilt them and my eardrum and cleaned out the mastoid area..it was a six hour surgery...instead od being deaf I have about 80% of my hearing...this was done 30 years ago and no problems since...not sure I spelled everything correctly...
Impressive, must have been a skilled ENT surgeon
My brother had it get into the little bones and they ended up drilling his inner ear out and sealing it. His other ear has thankfully never been affected. He was monitored for years with frequent operations but it just got worse and worse. This was 15ish years ago.
You did beautifully!
I can't hear with my right ear and I don't know how it happens 😭💔 how i locate you sir
Wow this is almost mesmerizing. Thank you for another educational video and update. I hope the best for this man.
Would any topical antibiotics or steroids help the build up of debris while he waits for the ENT?
Conor, I'm not sure if you know the RUclips channel "Dr. Zhao. Video." He's a specialist/doctor and handles lots of cholestetoma cases like this. It's incredibly fascinating.
Could it be the patient has An underlying autoimmune issue that is manifesting on the ear since it has been bothered not long ago?
That was amazing. Well done for removing all that debris from such a massive crater 👏❤️
Thanks Diane
As a former physician (not ENT), I would classify your "trauma" as of a minor/minimal degree, particularly in view of the diagnosis. As I've previously mentioned, it brings into question the legal decision of not permitting audiologists to utilize local anesthetic. This would have been quite appropriate in this case in so far as not only providing comfort for the patient, but also making your job easier. A bit of skin bruising is a fair price to pay, when necessary, to advance the treatment of this patient's medical problem, with informed patient consent of course.
Please point the angled endoscope down again after you’re done cleaning so we can see just how deep it goes :)
Poor patient and poor you, having to fight with this. I do hope he gets his ENT appointment before too long.
Just here to see this handsome doctor ❤
Ohh my goodness 😱 this poor man what a really big job 👀 it looks like old leather and soo hard peeling it away 👀😱
Blessings and thank you for the follow up . 👀😱😘🙏🌹
Whoa...that was massive. Great job
If I were this patient, I'd schedule monthly follow-ups.
Surgery is inevitable with a cholesteatoma
Brilliant job and great explanation. Poor patient.
Thankyou Rimini
Hello from Pittsburgh, Pa. Wow ! That really was a gigantic mass ! I’m an RN , and I can appreciate in how short of time this amount of debris built up ! If you do have another follow up with this patient, it would good to see how he’s doing. Your videos are always interesting Conor , I like learning new things medical ! ( New for me . ) I think you might have been channeling Rhys Barber 🧔♂️ here with the “ tough as boots “ description and his beloved food analogies , “ Lasagna “. Gave me a giggle ! 😆
As always, your videos are interesting and worth waiting for.
Thankyou
Dr. Zhao has an instrument he uses to clean some cholesteatomas that looks like a hook with little grooves in the tip and the bend. I have no clue what it’s called. Have you ever seen one? Would it help? You did well on cleaning out this one with what you had to work with but it was understandably frustrating. I hope this man gets his ENT appointment soon.
Yes I've seen the hook he uses, I searched for ages to try and find something similar but have never found anything exactly the same. In the end I had to get Sheffmed to make the one I use specially for me
Sir, I am a Physycian Assitant Certified from the USA. How are you not an ENT/Otolaryrngologist capable of performing surical repair? For a local anesthetic why is Cocaine Solition at 20% not instilled and then evacuated? The 4m Scope was excellent in every regard. When I was first trained at university to be a PA-C, scopes of this type were years from appearing in general use. Be grateful for what you have now. Cheers.
It's incredible to me that a medical professional can't get their hands on the kinds of tools that would make their work easier/better. Especially when you can describe the kind of shapes and functionalities you would want for those tools.
Are these kinds of tools non-existent or just very hard to find well made? Either way, you get the job done with what you have. Very admirable
They're very hard to find, the hook that I'm using in the vid I had to have custom made for me. Manufacturers generally have no idea what we need
That was an insane battle of audiologist vs a megalith of ear crud! Well done to you both…I’m sure the patient is extremely grateful to have that cleared. I feel so sorry for him.
My partner is currently waiting to see the ENT for Eustachian tube disfunction leading to glue ear. She has terrible allergies and continuous sinus infections which has lead to this. I hope there is something they can do for her as she is a musician and composer and extremely distressed by her hearing loss. Any advice greatly appreciated Conner
Thats unfortunate, we're seeing alot of this recently. The ENT will know what to do, worst case scenario grommets can help
I'm not a healthcare professional so take this with a grain of salt, but I think otitis media with effusion, aka glue ear, is unlikely to lead to permanent hearing loss - so at least when she finally does get treatment her hearing should go back to normal.
In the meantime, has she tried any of the devices out there that are designed to help with ETD? I think Vik Veer has a video about them on his channel. If she hasn't spoken to a GP or pharmacist about things like saline sinus washes and antihistamines and steroid nose sprays (not the same thing as decongestant nose sprays) they might also be worth looking into as well.
I hope she gets to see ENT soon and that they are able to help her. As a fellow atopic allergy sufferer she has all my sympathy. Mine aren't cured, but they're under control these days, and that has made a world of difference to me; I hope things go even better for her.
WOW! This is the best one yet!
Maybe you need to fashion a tool with the right kind of bend because you know this patient is gonna be back.
Wow , poor man. Well done for getting it out ! ❤
Thankyou
Hope this guy got the helps he needs
Where have you been? Missed your amazing, interesting and informative videos.
Thankyou Candace
Please watch Dr. Zhao video. He is using a very good hook to lift a stubborn earwax. Especially Cholesteatoma debris. Thank you so much for your gentle care for your patients. You are not afraid to admit if you made a mistake. Most medical practioner will not admit their mistake in public. They will resolve the mistake done but in private. Take care and God bless you.❤
This was absolutely amazing and I completely, totally did not expect the iceberg at 12:13. As this skin (wax, etc.) is building up, is it also eating away making the trenches deeper and longer? Is this an autoimmune disease? Please keep us updated.
I know it is difficult but the cholesteatoma videos are really interesting
Glad to hear it, I like rare weird cases
Great Job. Well done. Can't believe there's that much in a person's ear in 3 months. Shocking. And too bad about the free medical care where you have to wait for many months before getting help.
Dear lord that crater looks to be an inch deep. That poor guy
If you weren't narrating this piene I woould think this was a long term neglected mastoid cavity. Isn't there a way to fast track a patient to an ENT? It just seems a bit long for certain patients. It is , as always. good to see you. It may be late, but, Happy New Year. Please keep us posted. Thank you and thanks to the patient.
Hi Therese, yes it does look like a mastoid cavity, it might turn into one if left alone. There are ways to fast track but I have no power to do it. Good to see you!