Violent crimes is a devastating and highly visible problem in modern society, often manifesting in the form of physical assaults, shootings, and homicides. Among these violent incidents, gun- related injuries, particularly to the head and neck, are some of the most lethal and complex to treat. Penetrating injuries to the middle ear are typically caused by objects like ear buds, Q-tips, pencils, and hairpins. These items tend to create localized damage and follow predictable pathways of injury1. However bullet injuries to the ears can lead to various complications including fractures, damage to the tympanic membrane, and potential involvement of the inner ear structures which may cause debilitating and permanent hearing loss. This report outlines the management strategies implemented, the surgical approach taken, and the functional outcomes following an air gun injury