In adults, which maneuver should be used to straighten the ear canal?

• A. Pull down and back
• B. Pull up and back
• C. Turn the head
• D. Tilt the head sideways

Answer: (B)

To straighten the ear canal in adults, gently pull the pinna upward and backward. This motion aligns the natural downward bend of the external auditory canal, creating a straight path for an otoscope or for ear drops to reach the tympanic membrane more easily. The direction matters because adults’ ear canals angle differently than children’s; pulling up and back makes the canal easier to access. Turning or tilting the head doesn’t straighten the canal itself, so they aren’t the preferred techniques for improving visualization or access. Always use gentle traction to avoid discomfort or injury.