Dear Editor:

I read with interest the Otoscopic Clinic in the January 2008 issue of EAR, NOSE & THROAT JOURNAL. (1) The authors stated that there have been 5 documented cases, including their 2 cases, of T-tube migration to the middle ear. I would like to add case number 6.

A 45-year-old patient was seen for dizziness evaluation, which showed right BPPV (benign paroxysmal positional vertigo). He was found to have a T-tube in his left ear (figure) which, according to the patient, had been there for more than 15 years. The ear examination showed a fairly normal looking tympanic membrane with adequate mobility. Hearing thresholds and tympanograms were normal.

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