Logan Turner’s Diseases of the Nose Throat and Ear 11th Edition PDF – Head and Neck Surgery PDF
Logan Turner’s Diseases of the Nose Throat and Ear 11th Edition PDF – Head and Neck Surgery EXAMINATION of the ear includes close inspection of the pinna, the external auditory canal and the eardrum. Make sure you gently tilt the pinna forward and look behind the ear. Look for scars from any previous surgery – they may be long healed and are easily missed.
Examine the ear with an auriscope or ‘otoscope’. A good otoscope is expensive but a worthwhile investment. Th ere may be an attachment which permits insuffl ation of air into the ear canal so that the mobility of the drum can be assessed – pneumatic otoscopy. Modern auriscopes have distal illumination via a fi breoptic cone giving a bright, even light. Th e battery should be in good condition to give a white light.
A common error in examination of the ear is to use too small a speculum;
SOME TRICKS FOR YOUR EXAMS
Examination of the ear
1 Look for any scars.
2 Examine the pinna and outer meatus in a good light – you can use the auriscope
3 Remove any wax or debris by syringing, or by instruments if you are practised in
4 Pull the pinna gently backwards and upwards (downwards and backwards in
infants) to straighten out the meatus.
5 Inspect the external canal.
6 Insert the auriscope gently into the meatus and see where you are going by
looking through the instrument. If you cannot get a good view, it may be that the
speculum is the wrong size or the angulation is wrong.
7 Inspect all parts of the tympanic membrane by varying the angle of the
Logan Turner’s Diseases of the Nose Throat and Ear 11th Edition PDF – Head and Neck Surgery