Aachen University Hospital says the 24-year-old man sought help in 2011 after suffering for years from headaches, constant colds and worsening vision in one eye. A scan showed that a four-inch pencil was lodged from his sinus to his pharynx and had injured his right eye socket.
The unnamed man said he did not know how the pencil got there but recalled that he once fell badly as a child.
The German doctors removed the pencil and say the man has recovered.
Hospital spokesman Mathias Brandstaedter said that the case was presented for the first time at a medical conference this week.
In 2007, a German woman plagued by headaches and nosebleeds had a pencil removed from inside her head after more than 50 years.
Margret Wegner, 59, fell over carrying the pencil in her hand when she was four.
“The pencil went right through my skin – and disappeared into my head,” she said at the time.