Middle ear adenoma is a relatively rare entity in routine otolaryngology practice. As per our knowledge, this condition has not been reported in the United Kingdom since last 16 years. Latest report was by Jones SE10 in 2001. We report a case of middle ear adenoma which was initially been treated as a chronic ear infection. In this article, we have discussed the presentation, diagnosis and management options for this condition. The primary purpose of the article is highlight that although rare, middle ear adenoma should be considered as a differential diagnosis in treating middle ear masses.