 [ Symptoms ] i have congenital diaphragmatic eventration is himalayan trekking advisable [ Disease ] plastic beads can be challenging to remove and that is speaking from a seasoned medical provider who has removed hundreds of them over the years mostly from children who are not autistic i have special instruments and can use directed light and magnification i suspect that do not have these tools or the skills unless you can gently irrigate out his ear with a stream of warm water from a hand held shower while both of you are in the bathtub or shower then it would be wise not to attempt it using any type of instrumentation may hurt him if it scratches the sensitive ear canal or may rupture his eardrum as much as i know you hate to do this you will either need to take him to see his medical provider see an ent or go to the er he can be restrained a bit or even slightly sedated but that bead needs to get out of there