Clinical Examination of the Ear

The examination of the ear includes close inspection of the pinna, the external auditory canal and the tympanic membrane. Scars from any previous surgery may be inconspicuous and easily missed. The ear is most conveniently examined with an auriscope (Fig. 2.1). Modern auriscopes have distal illumination via a fibre-optic cone giving a bright, even light. Because interpretation of the appearance depends to a 5 Fig. 2.1 Auriscope with halogen bulb lighting via a fibreoptic cone.