Department of Pediatrics
University of Wisconsin School of Medicine and Public Health

Proper Otoscopy Technique

Proper Otoscopy Technique

See this NEJM video for further information as well as this presentation on the pediatric ear exam.

General Exam Checklist

Here are the general exam items from the Standardized Checklist for Otoscopy Performance Evaluation (SCOPE) checklist (full article).

  1. Discussed the need for otoscopic assessment
  2. Described the possible need to remove cerumen to view ear
  3. Described positioning and the possible need for secure holding method

Equipment:

  1. Selected appropriate size ear speculum for proper seal and comfort to patient, given child’s age/size Age___ Size___

Positioning:

  1. Ensured appropriate position (including caregiver assisted) for patient based on age and/or developmental status of patient.
  2. If needed, assured that child’s head was appropriately secured
  3. If not able to perform step 6, asked for assistance from caregiver

Distraction Techniques:

  1. Used distraction techniques appropriate for age/development stage.

Otoscopic Examination:

  1. Inserted otoscope with dominant hand.
  2. Stabilized otoscope either by one-handed or two-handed method
  3. Manipulated auricle to facilitate view of TM
  4. Stabilized otoscope by bracing finger/dorsum of hand on infant/child’s face or head