An ear examination tool comprising: a handle (2, 2a); a spacing element coupled to the handle (2, 2a) and extending from the handle, the spacing element having a distal end and a proximal end; a speculum mount coupled to the handle (2, 2a) at the distal end of the spacing element, the speculum mount configured for retaining a speculum; a smartphone mount coupled to the spacing element at the proximal end of the spacing element, the spacing element configured to maintain an optical separation distance between the speculum mount and the smartphone mount along a central axis of the speculum and the speculum mount, the central axis extending through the speculum when it is attached to the speculum mount and wherein the speculum mount, the spacing element and the smartphone mount are configured to provide a first optical path from the smartphone mount to and along the central axis of the speculum mount, while allowing a clear space for access by a microsuction device into and through a speculum when mounted to the speculum mount, from a position between the speculum mount and the smartphone mount and at an oblique angle to the optical path, in which the handle extends from the distal end of the spacing element in a direction generally orthogonal to the first optical path in which the smartphone mount comprises a cradle configured to releasably receive and retain a smartphone, the cradle including at least one aperture (12, 13) therein positioned such that, when a smartphone is mounted in the cradle, the ear examination tool provides the first optical path extending from a first position of the smartphone mount corresponding to a smartphone camera to and along the central axis of the speculum mount, and a second optical path extending from a second position of the smartphone mount corresponding to a smartphone light source and oblique to the central axis of the speculum mount, the first and second optical paths intersecting at a point distal of the speculum mount. a handle (2, 2a); a spacing element coupled to the handle (2, 2a) and extending from the handle, the spacing element having a distal end and a proximal end; a speculum mount coupled to the handle (2, 2a) at the distal end of the spacing element, the speculum mount configured for retaining a speculum; a smartphone mount coupled to the spacing element at the proximal end of the spacing element, the spacing element configured to maintain an optical separation distance between the speculum mount and the smartphone mount along a central axis of the speculum and the speculum mount, the central axis extending through the speculum when it is attached to the speculum mount and wherein the speculum mount, the spacing element and the smartphone mount are configured to provide a first optical path from the smartphone mount to and along the central axis of the speculum mount, while allowing a clear space for access by a microsuction device into and through a speculum when mounted to the speculum mount, from a position between the speculum mount and the smartphone mount and at an oblique angle to the optical path, in which the handle extends from the distal end of the spacing element in a direction generally orthogonal to the first optical path in which the smartphone mount comprises a cradle configured to releasably receive and retain a smartphone, the cradle including at least one aperture (12, 13) therein positioned such that, when a smartphone is mounted in the cradle, the ear examination tool provides the first optical path extending from a first position of the smartphone mount corresponding to a smartphone camera to and along the central axis of the speculum mount, and a second optical path extending from a second position of the smartphone mount corresponding to a smartphone light source and oblique to the central axis of the speculum mount, the first and second optical paths intersecting at a point distal of the speculum mount.