Otoscopy is simply a visual inspection of your outer ear, including the ear canal and tympanic membrane (eardrum). We perform this inspection as part of the screening and evaluation. Sometimes people just have ear wax issues which cause hearing loss. By inspecting the ear we can usually tell whether wax is a factor, for example, if I can see any part of the ear drum, then most likely the wax is not causing any measurable loss. In fact, if there is as much as a pin hole, it rarely affects the hearing test by more than 5dB or so. However, sometimes there is wax that completely obstructs our view of the eardrum. In this situation, we proceed with the Air and Bone testing to determine if the ear wax is causing any conductive hearing loss.