An elastofibroma is a rare fibro-elastic pseudotumor, first reported in 19611. It is usually located at the lower pole of the scapula and rarely at other sites. The etiology is unclear, but may be related to abnormal elastogenesis caused by repetitive trauma or friction between the scapula and chest wall2,3. The choice of treatment is controversial: some have suggested a marginal excision because it carries a low recurrence risk whereas others adopt a wait-and-see approach in asymptomatic patients because malignant transformation of the lesion has not been reported4. We present the case of a man with an elastofibroma of the external auditory canal (EAC). To our knowledge, this is the first case of elastofibroma localized in the EAC to be reported in the English language literature.