Have you ever treated a patient presenting with a case of insect-in-the-ear? Understandably, the situation is quite distressing for the patient. Spiders, cockroaches, and other creepy-crawlies entering the ear canal, particularly during sleep, occurs more commonly than you might think. While this isn't a problem I treat on a daily basis as a nurse practitioner in the emergency department, it happens from time to time. What is the best approach for removing an insect from the ear?