EAR EXAMINATION

Ear examination can be performed using instruments like a microscope, otoscope, or otoendoscope with the help of a headband light or a head mirror with a bull’s lamp. It may require cleaning from the ear canal.

The ear canal produces earwax that is generally yellow and soft or dry and flaky. The jaw movement causes the dead skin cells from the ear canal to move towards the earlobe carrying wax along with them. Thus, if earwax is removed in this manner, the ear canal does not require cleaning. Sometimes, the wax builds up in the canal leading to blockage, commonly seen in people using cotton buds for cleaning the ears.

To cure this blockage, one can use wax-softening ear drops. If this doesn’t work, removal through microscopic suction, syringing, or special hooks can be done.

Ear microscopy requires the person to lie on his or her back, and a tiny metal funnel is placed in the ear canal to prevent the view from obscuring by skin and hair. Ear suction is used to remove objects or earwax, treat infections, or for surgical procedures. A small metal sucker attached to a low-pressure suction machine is used for ear suction. The process is simple but the patient may experience mild discomfort and dizziness for some minutes.

The process of syringing involves directing the water into the ear using a massive syringe with a distinctive tip. The water is aimed at the crown of the ear canal for it to pass over the earwax and force it out from behind. The wax and water are then collected in a tray held under the ear. Ear syringing may cause some dizziness for a few minutes but it is for a few minutes only.