The foreign body should be visualized with an otoscope prior to removal. In an uncooperative child or if the foreign body is not well visualized, referral to an ENT specialist is recommended.
Most foreign bodies are able to be removed with irrigation alone.
If there is a living insect in the canal, it should be killed with the installation of mineral oil and then irrigated. Other instruments that may be used include alligator forceps, loops, and balloon tipped catheters. Applying Crazy Glue to the tip of a cotton applicator and attaching this to the foreign body has also been successful in removal of objects. Allow about 3 minutes for the glue to dry and then pull the applicator out. The same techniques use for removal from the ear are used although children tend to be less cooperative.