Tough solid masses in the subauricular region are mostly mixed tumors of the parotid gland, mostly seen in young adults. The tumor is located below the earlobe and, in larger cases, extends into the neck. The tumor is hard and nodular in shape, sometimes with a portion of it being cystic and interspersed with softer nodules. The tumor is not adherent to the skin or basal tissues and can be pushed; it grows slowly and may remain unchanged for several years or more than 10 years. The otoscope is shaped like a funnel, with different caliber and size. The otoscope is placed in the external ear canal in order to observe all parts of the ear canal and the entire tympanic membrane. The examinee sits sideways and the examiner focuses the light of the frontal mirror on the opening of the external auditory canal of the examinee and pulls the auricle backwards and upwards with one hand. The appropriate size otoscope is rotated into the external auditory canal. The otoscope should not be placed too deep so that it can be moved up and down to observe the entirety of the ear canal and the tympanic membrane. Normal values No perforation or aspiration of pus from the tympanic membrane. Clinical significance Abnormal findings: perforation of the tympanic membrane or aspiration of thick fluid. Who should be examined: Patients with tympanic membrane perforation. Examination procedure 1. The examinee sits sideways and the examiner focuses the light of the frontal mirror on the opening of the external auditory canal of the examinee and pulls the auricle backwards and upwards with one hand. 2. The appropriate size otoscope is rotated and placed into the external auditory canal. 3.The otoscope should not be placed too deep, so that it can be moved up and down from side to side to observe the whole picture of the ear canal and the tympanic membrane.