Carcinoid tumor of the middle ear is a rare tumor, with only 46 cases reported. Presentation and symptoms are consistent with a middle ear mass and rarely include carcinoid syndrome. After surgical excision, indefinite follow-up has become necessary as authors have recently realized that possible local recurrence or regional metastases may appear in about 20% and 10% of the cases, respectively. Utility of In-111 penteotride scintigraphy for the detection of carcinoid tumors is well known, but its utility for the detection and follow-up of this type of tumor when located in the ear is rarely documented. We report a carcinoid tumor of the middle ear detected by In-111 pentetreotide scintigraphy in the follow-up of a patient with previous surgical excision of this entity.