There may be the following cases of pulling out black things inside the ear: The first case is the fungal mass in the ear canal. This kind of patients usually have prickly itching in the ear canal, and after long-term application of antibiotic ear drops, it leads to the formation of a secondary infection in the ear canal, which manifests as itchy ears. When examining the ear canal, you can see black fungal masses appearing in the ear canal, and some patients can see fungal mycelium growing. A fungal smear examination of the ear canal secretions can reveal the manifestation of fungal growth. In this case, topical application of antifungal ointment treatment is effective. In the second case, some patients have cerumen in the ear canal, and long-term cerumen retention in the external ear canal is oxidized locally, which can be shown as black. In the third case, some patients have old crusts in the ear canal, mostly formed after injury or bleeding in the ear canal. In the fourth case, some patients may have a growth inside the ear canal, such as a melanoma, which may appear as a black neoplasm after picking it out, mostly accompanied by pain and bleeding.