Training Transcript

Transcript for Otoscopy Training

The first aspect of screening otoscopy is done for each ear in order to identify foreign objects, excessive wax or cerumen, perforated eardrums, and ventilation tubes.

Let’s watch how it’s done.

The otoscope should not be held like a hammer, but rather backhanded, so that the back of your hand is a buffer between you, the child’s head, and the otoscope. This will prevent an injury to the child in the event the child moves his or her head suddenly.

Next, lift up and back on the child’s pinna. This will slightly enlarge the ear canal. The otoscope specula should enter the canal at an angle and toward the child’s eye in order to follow the path of the canal. You may have to adjust the position of the specula and even yourself in order to view all of the canal and eardrum.

The standard adult specula is four millimeters, and this may be fine for many children. However, be prepared to use smaller specula for small children and infants.