A 30 year old man was camping and an insect got stuck in his ear which he has been unable to remove

A 30 year old man was camping and an insect got stuck in his ear which he has been unable to remove. He complains that he can still hear the buzzing in the ear. On inspection, the insect is clearly visible in the ear canal. What is the SINGLE most appropriate initial management?

A. 2% lidocaine
B. Ear irrigation
C. Refer to an Ear Nose and Throat specialist
D. Reassure
E. Removal by cotton bud

Insects should be killed prior to removal, using 2% lidocaine.

Olive oil can also be used to float the insect out by pouring olive oil into the ear.