II. Preparation
- Adequate viewing requires >100 foot candles light
- Change otoscope bulbs periodically (after 20 hours of use)
- Use the largest ear speculum that will fit to give maximal visualization and optimal seal (2 and 4 mm sizes are common)
III. Technique: Observation
- Assessment of canal
- Assessment of Tympanic Membrane
- Color and Appearance
- Yellow (amber) serous fluid behind TM
- Suggests Serous Otitis Media
- Air bubbles may also be seen in serous otitis
- Marked erythema may suggest Acute Otitis Media
- Fever and crying can also bring this on
- Landmarks obscured
- Suggests Acute Otitis Media
- Yellow (amber) serous fluid behind TM
- Position
- Bulging TM suggests Acute Otitis Media
- Retracted TM suggests Eustachian Tube Dysfunction
- Mobility
- Immobile TM suggests effusion
- Color and Appearance
IV. Technique: Air insufflation (Pneumatic Otoscopy)
- Requires airtight seal (Rubber tipped specula)
- Avoid excessive pneumatic pressure
- Bulb used to blow air against Tympanic Membrane
- May also blow air into IV extension tubing
- Male end fitting into side of Otoscope
- Female end of tube in mouth
- Suck on tubing
- Blowing into tube fogs lens
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Related Studies
| Definition (MSH) | Examination of the EAR CANAL and eardrum with an OTOSCOPE. |
| Concepts | Diagnostic Procedure (T060) |
| MSH | D038781 |
| ICD9 | 18.11 |
| ICD10 | 90119-00 |
| SnomedCT | 76517002 |
| English | Otoscopy, otoscopy (treatment), otoscopy, Diagnostic endoscopy, EAR, Endoscopy;diagnostic;ear, ear endoscopy, endoscopy of ear, Endoscopy of ear, Endoscopy of ear (procedure), endoscopy of the ear |
| Japanese | 耳鏡検査, ｼﾞｷｮｳｹﾝｻ |
| Swedish | Öronspegling |
| Czech | otoskopie, Otoskopie |
| Finnish | Korvan tähystys |
| Russian | OTOSKOPIIA, ОТОСКОПИЯ |
| Polish | Otoskopia |
| Hungarian | Otoscopia |
| Norwegian | Otoskopi, Øreundersøkelse |
| Spanish | otoscopia, endoscopia del oído (procedimiento), endoscopia del oído, Otoscopia, Otoscopía |
| Dutch | otoscopie, Otoscopie |
| French | Otoscopie |
| German | Otoskopie |
| Italian | Otoscopia |
| Portuguese | Otoscopia |
