To the Editor.—
Teele and Klein (242:2664, 1979) wrote a letter to the editor of The Journal about the new teaching pneumatic otoscope. Their communication prompted our trial of a further use of this instrument, patient education. With the second port directed anteriorly and the patient holding a hand mirror, patients are able to share the view. Some effort is needed in moving and angling the mirror to get an adequate view; patients with wide-open, straight ear canals are able to see their tympanic membranes more readily.Thus, the teaching pneumatic otoscope can also be used to share findings with patients or to demonstrate the ill effects (artophic changes) of cotton swab use.