A 3-year-old boy was playing with his friend when they decided to see how many peas they could stick into each others ears. Later, the babysitter noticed that one of the boys had become completely deaf in his left ear. On examination in the emergency department of the local hospital, the physician's assistant noticed what appeared to be several peas deeply embedded in the left external auditory meatus. She decided to attempt the removal of the peas through an otoscope. Which direction should the auricle be pulled in a child to straighten the meatus and assist in the operation? How does this change in the adult?
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