What is the proper technique for pulling the pinna to improve canal viewing during otoscopy?

The proper technique for pulling the pinna to improve canal viewing during otoscopy is to pull up and back on the pinna. This maneuver straightens the ear canal, making it easier to visualize the tympanic membrane and any structures within the ear.

When the pinna is pulled up and back, it allows for a better line of sight because this positioning opens the ear canal, reducing any curves that could obstruct a clear view. This technique is especially important in ensuring that the otoscope can be properly inserted and angled to allow for an optimal examination.

Other methods of manipulating the pinna, such as pushing down and forward or pressing the earlobe downwards, do not achieve the same effect of straightening the ear canal. These alternatives may even make viewing more difficult. Rotating the pinna in circular motions is also ineffective, as it does not provide the necessary alignment for a clear view of the canal and ear structures. Therefore, pulling up and back is the best approach for effective otoscopic examination.