{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:50:52Z","timestamp":1782384652416,"version":"3.54.5"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Medial migration of tympanostomy tubes is a rare complication, particularly when detected decades after insertion. We report the case of a 40-year-old female with a history of bilateral tube insertion at the age of five, who presented with intermittent nasal congestion and mild allergic rhinitis. Otoscopic examination revealed an intact tympanic membrane with a bluish-green mass in the middle ear on the right side. Audiologic assessment showed normal hearing and middle ear function. The patient was asymptomatic from an otologic standpoint and opted for conservative management following counselling. This case represents the longest reported duration of medial tube migration, underscoring the potential for long-term retention without complications and the importance of individualized management in asymptomatic adults.<\/jats:p>","DOI":"10.1093\/jscr\/rjag436","type":"journal-article","created":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T11:21:34Z","timestamp":1779103294000},"source":"Crossref","is-referenced-by-count":0,"title":["Medial migration of a tympanostomy tube after 30\u00a0years: a rare case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4564-1197","authenticated-orcid":false,"given":"Eman","family":"Hajr","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head & Neck Surgery, Imam Mohammad Ibn Saud Islamic University (IMSIU) , Riyadh ,","place":["Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,10]]},"reference":[{"key":"2026062506251463200_ref1","doi-asserted-by":"publisher","first-page":"216","DOI":"10.11604\/pamj.2019.34.216.19472","article-title":"Medial migration of the tympanostomy tube: what is the optimal management option?","volume":"34","author":"Benchafai","year":"2019","journal-title":"Pan Afr Med J"},{"key":"2026062506251463200_ref2","doi-asserted-by":"publisher","first-page":"918","DOI":"10.4103\/1110-2098.173673","article-title":"Prevalence of complications associated with tympanostomyx tube insertion","volume":"28","author":"Ragab","year":"2015","journal-title":"Menoufia Med J"},{"key":"2026062506251463200_ref3","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1067\/mhn.2001.113941","article-title":"Meta-analysis of tympanostomy tube sequelae","volume":"124","author":"Kay","year":"2001","journal-title":"Otolaryngol Head Neck Surg"},{"key":"2026062506251463200_ref4","doi-asserted-by":"publisher","first-page":"678","DOI":"10.1016\/j.ijporl.2007.01.004","article-title":"The etiology of medial migration of tympanostomy tubes","volume":"71","author":"Eken","year":"2007","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"2026062506251463200_ref5","doi-asserted-by":"publisher","first-page":"1707","DOI":"10.1016\/j.ijporl.2006.05.015","article-title":"Medial migration of tympanostomy tubes: an overlooked complication","volume":"70","author":"Groblewski","year":"2006","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"2026062506251463200_ref6","first-page":"1108","article-title":"Medial migration of tympanostomy tubes: the why and what to do?","volume":"5","author":"Mukerji","year":"2018","journal-title":"Austin J Otolaryngol"},{"key":"2026062506251463200_ref7","doi-asserted-by":"publisher","first-page":"928","DOI":"10.1017\/S0022215108003873","article-title":"Case of perilymphatic fistula caused by medially displaced tympanostomy tube","volume":"123","author":"Hajiioannou","year":"2009","journal-title":"J Laryngol Otol"},{"key":"2026062506251463200_ref8","doi-asserted-by":"publisher","first-page":"789","DOI":"10.1177\/2050313X241286689","article-title":"Destructive foreign body granuloma: a case report","volume":"12","author":"Wongwan","year":"2024","journal-title":"J Laryngol Otol"},{"key":"2026062506251463200_ref9","doi-asserted-by":"publisher","first-page":"1793","DOI":"10.1016\/j.ijporl.2015.08.008","article-title":"To remove or not to remove: review of cases of medial migration of tympanostomy tubes","volume":"79","author":"Bezdjian","year":"2015","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"2026062506251463200_ref10","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1016\/j.ijporl.2017.11.023","article-title":"What to do with medialized tympanostomy tubes? A survey of pediatric otolaryngologists","volume":"104","author":"Bezdjian","year":"2018","journal-title":"Int J Pediatr Otorhinolaryngol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag436\/68610231\/rjag436.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag436\/68610231\/rjag436.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:25:17Z","timestamp":1782383117000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag436\/8704811"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,31]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag436","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,5,31]]},"article-number":"rjag436"}}