What is the correct way to move an adult's ear when performing an ear lavage?

• A. Pull up and back on top of the ear
• B. Pull down and back on the ear lobe
• C. Pull outward away from head
• D. Tilt head to side

Answer: (A)

When performing ear lavage, the goal is to straighten the ear canal so the irrigation stream can reach the canal cleanly without pressing on the eardrum. For an adult, gently pulling the pinna up and back accomplishes this by aligning the canal’s curves. This makes the irrigation more effective and safer. Pulling the ear lobe downward is the technique used for young children, not adults. Pulling outward away from the head doesn’t properly straighten the canal and can increase the risk of injury. Tilting the head to the side helps drainage after irrigation rather than positioning the canal for the lavage itself.