Patient presented complaining of waking up with a bubbling-t | Figure 1

Patient presented complaining of waking up with a bubbling-type noise in her left ear and occasional discomfort, no symptoms or URTI, no allergies, hearing intact. On examination found this little guy, still alive and fluttering his wings. Successfully flushed out and patient grateful not to have "bug eating her brains" anymore. :-)

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Resident, 82 F. Recently moved to my memory care unit from ALF community. Complained she felt something "tickling her hearing aid". This was dangling outside of her ear canal, almost completely solid. No wonder she couldn't hear us!](https://app.figure1.com/case-detail/01e4f0c2-3851-44cd-9ce8-8a7a4a4d1ac4)


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H/O patient is using earbuds for cleaning his ears. He said that he used earphones for 6-7 hours daily. \ Than i checked his ear using endoscope and later i found this image.
Tips:\

  1. Avoid using softtips/earbuds for cleaning the ears it affects the eardrum.\
  2. Please don't use earphones for long hours. And don't use it continuously.](https://app.figure1.com/case-detail/5279eb7e-214a-485b-bbc2-3d26dce57e39)


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