The authors are presenting our experience of managing an interesting case of a 13-year-old male patient who presented to our clinic with a hearing loss on the right ear with the use of hearing aids. By otoscopy, there was a frank greenish mass in the middle ear cavity behind an intact tympanic membrane of the right side. CT of the temporal bone was needed to fully evaluate the extension of the lesion. Through a transcanal endoscopic approach, excision biopsy was possible. Histopathological examination of the mass revealed an inorganic material which has not been stained with the ordinary H&E stain. The features were suggestive of foreign body material which was the mold of the hearing aid. We discuss the clinical presentation, diagnosis, and treatment of this case as well as a review of the literature.
