Elevation of the tympanic annulus inferiorly using an annulus elevator. To avoid tearing, it is important to maintain firm pressure against the bone. Elevation is with the side of the shaft, not the tip of the instrument. When under local, this maneuver is often incompletely anesthetized.
{"Image Orientation": "Horizontal (normal)", "Image Copyright": "\u00a9 2018 Chris Gralapp"}