An 86-year-old man presented ambulatory with acute dysphagia. Radiolog
ic examination and endoscopy revealed a swallowed postauricular hearin
g aid. The earmold of the hearing aid became visible in the hypopharyn
x after mucus and saliva were removed. It could be extracted without e
ffort once the connecting tube was disconnected from the coupling devi
ce lodged in the upper esophageal sphincter. The hearing aid itself wa
s impacted in the proximal esophagus and was extracted without any pro
blems. The postoperative phase was uneventful with normal swallowing a
nd discharge. Technical inspection revealed that the hearing aid no lo
nger worked. Diffusion of toxic substances (zink, mercury) from the im
pacted batteries is not to be expected.