title: Forgotten T-tube in the middle ear.
abstract: Retention within the middle ear cleft is an unusual complication of T-tube insertion. A 40-year-old woman with Kartagener's Syndrome presented with hearing impairment in the right ear. She was found to have a previously inserted Goode T-tube lying within the middle ear behind an intact drum. She underwent successful removal of the T-tube via a myringotomy, and a new tube was re-inserted. Migration of a T-tube into the middle ear cleft should always be kept in mind in patients who present with otological symptoms and have a history of T-tube insertion, even in the presence of an intact drum.
authors.affiliation: Department of ENT, Aberdeen Royal Infirmary, University of Aberdeen, United Kingdom. drshakeel@doctors.org.uk
authors.forename: Muhammad
authors.initials: M
authors.lastname: Shakeel
authors.forename: Aaron
authors.initials: A
authors.lastname: Trinidade
authors.forename: Imran
authors.initials: I
authors.lastname: Khan
authors.forename: Kim Wong
authors.initials: KW
authors.lastname: Ah-See
mesh_terms: D000328:Adult; D020878:Device Removal / Q000379:methods*; D004432:Ear, Middle; D005260:Female; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007619:Kartagener Syndrome / Q000150:complications / Q000175:diagnosis; D008876:Middle Ear Ventilation / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D010034:Otitis Media with Effusion / Q000150:complications / Q000601:surgery; D038781:Otoscopy / Q000379:methods; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D013997:Time Factors; D016896:Treatment Outcome; D018058:Tympanic Membrane Perforation / Q000209:etiology* / Q000601:surgery