Doctors first tried to use a suction device to remove the cockroach, but the insect clung to the tissues. After a 45-minute process, using suction and forceps, doctors were able to extract the bug, still alive....Maybe you are more attuned to the delicacies of the correct spelling of the leech you don't want in your ear, but for you hardier souls, I found this video, which I haven't had the nerve to watch through yet:
Shankar said this was the “first such case” he has seen in his three decades of practice, the New India Express reported. In the past, the hospital’s ENT department has removed a leach [sic], houseflies, and maggots from patients’ nasal cavities. “But not a cockroach, said S Muthuchitra, one of the doctors, “especially not one this large.”
ADDED: If there's a "Top 6 Removing Bugs in Ears Video," I'm not so sure this post deserves my "strange medical condition" tag.