If there is an object lodged in the ear canal, pushing on the otoscope may push the object further into the ear and damage the eardrum.
The diagnosis of impacted cerumen is usually made by examining the ear canal and eardrum with an otoscope, an instrument with a light attached that allows the doctor to look into the canal.
The doctor or nurse may hold the ear lobe as the speculum is inserted into the ear and may adjust the position of the otoscope to get a better view of the ear canal and eardrum.
In addition to a complete medical history and physical examination, the physician inspects using an otoscope the outer ears and eardrums of the child.
An ear examination with an otoscope can also detect a build-up of wax in the ear canal or a rupture or puncture of the eardrum.
The doctor may examine the ear with an otoscope, a microscope-type device with a light source for direct inspection of the ear.
Ear speculum-A cone- or funnel-shaped attachment for an otoscope that is inserted into the ear canal to examine the eardrum.
Normally, the light from the otoscope reflects off the eardrum in a characteristic fashion called the "cone of light."
An ear exam with an otoscope can occasionally cause some discomfort if there is an ear infection or other ear problem.
An ear examination with an otoscope is usually done by a doctor or a nurse as part of a complete physical examination.