Granular myringitis (GM) is a long term condition in which there is inflammation of the tympanic membrane in the ear and formation of granulation tissue within. Granular Myringitis (GM) is a chronic inflammation that is confined to the squamous layer of the Tympanic. Membrane (TM). It was considered. The Granular Myringitis (GM) is not uncommon though in medical literature it has been reported among the rarer conditions. The aim of this article is to review.

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The myringiits outcome measured was the effect of the granulae intervention on recurrence of granular myringitis, compared with empirical antibiotic therapy.

Data were retrieved from the selected studies and checked for accuracy and consistency. Alternative therapies such as dilute vinegar solution should be considered over conventional antibiotic drops when treating granular myringitis. However many patients have a sensation of fullness, irritation, mild pain or itching in the ear. This was a poorly reported review and the conclusions should be regarded with caution.

Two studies were included in the review: The primary outcome measure was disease recurrence. Other electronic resources searched: Neither study was randomised or blinded at any stage. Further research of high value is needed. Quality assessment was carried out, granluar the results do not seem to have been taken into account in the analysis.

Granular myringitis

The review concludes that dilute vinegar solution myringitie be considered over conventional antibiotic drops for the treatment of granular myringitis.

If patients do not respond then application of topical caustic agents are employed. Journal of Laryngology and Otology ; 1: The authors stated that randomised controlled trials are required to assess strategies to treat and reduce the recurrence of myingitis myringitis, including surgical debridement, endoscopy-aided laser therapy, cautery and topical application of low pH solutions.


After assessment using the preset inclusion criteria, only two studies remained. Data extraction For each included study, the reviewers appear to have extracted data on recurrence for each treatment group.

Eligible studies had to include at myringtiis 20 patients with a clinical diagnosis of granular myringitis based on clinical history and examination and lasting at least three weeks.

Incidence and clinical characteristics. A narrative synthesis was appropriate given the heterogeneity, but the small sample size and poor quality of the included studies make the conclusions appear much stronger than warranted by the limited evidence. Diseases of the tympanic membrane. Each critical abstract contains a brief summary of the review methods, results and conclusions followed by a detailed critical assessment on the reliability of the review and the conclusions drawn.

Laser therapy for refractory myringitis in children. Authors’ objectives To establish optimal management and intervention strategies for granular myringitis. The authors did not state how the validity assessment was performed. Detailed inclusion criteria were set.

Results of the review Two studies were included in the review: WB Saunders Company; Authors’ conclusions Alternative therapies such as dilute vinegar solution should be considered over conventional antibiotic drops when treating granular myringitis.

CRD summary Grnaular review concludes that dilute vinegar solution should be considered over conventional antibiotic drops for the granklar of granular myringitis. The methodology of this review was poorly reported — for example, there were no details on the study selection, quality assessment or data extraction phases — so it was difficult to judge the extent to which various sources of error and bias may have influenced the process and final results. Otolaryngology – Head and Neck Surgery.

No information was reported about the side effects of oflaxacin. The authors stated that treatment with dilute vinegar solution should be considered as a logical nonharmful alternative to conventional antibiotic and steroid drops.


Methods of synthesis A narrative synthesis was carried out. Current literature was obtained by searching evidence-based medical databases, the Cochrane database, the Database of Abstracts of Reviews of Effects, the Cochrane controlled trials register, Ovid Medline, the various British Medical Journal imprint journals, individual journal websites and citation indexes, and by hand-searching current journals.

Surgery may be a viable option for intractable symptomatic patients.

The presenting symptom of GM is an ear discharge which may be foul-smelling. Retrieved reference lists and textbooks were scanned for additional papers. The Granular Myringitis GM is not uncommon though granullar medical literature it has been reported among the rarer garnular.

Centre for Reviews and Dissemination UK ; Granular myringitis is a chronic disorder characterised by lateral squamous de-epithelialisation and granulation of the tympanic membrane.

Infection and inflammation of the ear.

Management of granular myringitis: a systematic review.

Keywords Granular myringitis, Tympanic membrane, External auditory mygingitis, Granular otitis externa, Otitis. If perforation occurs the underlay perichondrium or temporalis fascia grafting is done.

The clinical features and pathogenesis of myringitis granulosa.

The aim of this article is to review the clinical features and management of Granular Myringitis GM. Randomised controlled trials RCTscontrolled case studies and observational studies of any management or treatment strategy for adults with granular myringitis were eligible for inclusion in the review.

Myringltis Head Neck Surg. Vinegar treatment in the management of granular myringitis. How to cite item. Similar articles in PubMed. The ensuing fibrosis in patients with granulations of deep bony meatal wall can result into an atresia of the deep bony EAC. Show details York UK: