Cone of light
The cone of light, or light reflex, is a visible phenomemon which occurs upon examination of the tympanic membrane with an otoscope. Shining light on the tympanic membrane causes a cone-shaped reflection of light to appear in the anterior inferior quadrant. This corresponds to the 4 o'clock to 5 o'clock position in the right eardrum and the 7 o'clock to 8 o'clock position in the left eardrum. The apex of the cone is at the most depressed part of the tympanic membrane, known as the umbo.
Absence of a cone of light
The absence of a cone of light does not necessarily signify an ear disorder, as it could be due to the slope of the tympanic membrane or the shape of the ear canal. However, distortions in the cone of light can also be a sign of increased inner ear pressure or otitis media.
- Stanley Gelfand (19 March 2009). Essentials of Audiology. Thieme. p. 40. ISBN 978-1-60406-155-0.
- Cone of Light Anatomy - http://www.webster.edu/~davittdc/ear/tympanic/tympanic.htm
- Advanced Therapy in Otitis Media. PMPH-USA. 2004. p. 56. ISBN 978-1-55009-201-1.
- Robert Thayer Sataloff; Joseph Sataloff (24 April 2006). Occupational Hearing Loss, Third Edition. CRC Press. p. 38. ISBN 978-1-4200-1547-8.