The presence of a foreign body in the middle ear is a rare clinical situation. They represent 1% of otologic disorders and less than 0.4% of all consultations in emergency services [1, 2]. This accident is a real emergency which sometimes threatens the vital prognosis. It poses two problems concerning its location and its extraction. We report the clinical case of a patient followed for chronic otitis media who accidentally introduced a metallic foreign body into his right middle ear.