Abstract: An improved imaging ear speculum is disclosed. The speculum retains a small imaging module such as a camera near is distal opening. The imaging module is retained in a carrier, which is slid into a track or guide in an interior wall of the speculum. Improved specula may also include annular inflatable bladders arranged on their outside distal surface, which bladders can engage with the patient's ear and render the speculum selectively self-retaining.