J, M 54 complaints about insect bite in his right ear, However the patient used home remedies to to remove the insect off the ear. Patient rigorously used ear buds to fight against the itch inside the ear because of the bite. J, walks into my clinic complaining about pain, loss of hearing in right ear. I Have cleaned the ear but could not find anything disturbing.

An audio gram was carried out. How should I go ahead with this? What might be the diagnosis ?