Correct option is D
Sol. During ear irrigation in adults, the pinna should be pulled upward and backward to straighten the external auditory canal, allowing proper visualization and irrigation. The anatomy of the adult ear canal is curved, and this maneuver helps align it for effective cleaning and medication instillation.
Explanation of each option:
· (a) Upward – Only lifting the pinna upward doesn’t fully straighten the canal. It must also be moved backward to align the canal properly.
· (b) Downward backward – This technique is used for infants and young children, whose ear canals are shorter and straighter.
· (c) Straight backward – Pulling only backward may not fully straighten the adult ear canal due to its upward curvature.
· (d) Upward and backward – Correct Answer. Recommended practice for adults to straighten the canal and improve visibility for irrigation, wax removal, or ear examination.