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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Otolaryngol Head Neck Surg.

Combined tympanic epithelial layer avulsion and overlay myringoplasty for diffuse granular myringitis. Some of the search terms used were reported.

Management of granular myringitis: a systematic review.

Data extraction For each included study, the reviewers appear to have extracted data on recurrence for each treatment group. There was a reduced recurrence of granular myringitis in myringotis studies’ intervention groups, although neither study was randomised or blinded, making it difficult to assess the clinical relevance of the results. The authors did not state how the data were extracted for this review or how many reviewers performed the data extraction.

Two studies were included in the review: The ensuing fibrosis in patients with granulations of deep bony meatal wall can result into an atresia of the deep bony EAC. Topical 5-fluorouracil for granular myringitis: WB Saunders Company; nyringitis Quality assessment was carried out, but the results do not seem to have been taken into account in the analysis.


Granular myringitis

The review concludes that dilute vinegar solution should be considered over conventional antibiotic drops for the treatment of granular myringitis. Keywords Granular myringitis, Tympanic membrane, External auditory canal, Granular otitis externa, Otitis.

Incidence and clinical characteristics. Similar articles in PubMed. This review addressed a clear clinical question with detailed inclusion criteria that appear to have been adhered to.

Laser therapy for refractory myringitis in children. Otolaryngology – Head and Neck Surgery. Management of granular myringitis: CRD summary The review concludes that dilute vinegar solution should be considered over conventional antibiotic drops for the treatment of granular myringitis.

Included studies were assessed using the Oxford Centre for Evidence Based Medicine grading system and the following criteria: Infection and inflammation of the ear. Epub Jan Databases searched between and Centre for Reviews and Dissemination UK ; Current journals not named were handsearched for recent publications. This is a critical abstract of a systematic review that meets the criteria for inclusion on DARE. The search strategy was not reported fully, particularly with relation to unpublished literature.

The aim of this article is to review the clinical features and management of Granular Myringitis GM. The authors stated that randomised controlled trials are required to assess strategies to treat and reduce the recurrence of granular myringitis, including surgical debridement, endoscopy-aided laser therapy, cautery and topical application of low pH solutions. Acceptable interventions included any topical or oral therapy or surgical management. 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.


Epub Dec The clinical features and pathogenesis of myringitis granulosa. User Username Password Remember me. Many patients respond well to meticulous microscopic aural toilet and topical antibiotic and steroid ear drops. The conclusion is based on just two small poorly designed studies and may not be reliable.

Eligible studies had to include at least 20 patients with a clinical diagnosis of granular myringitis based on clinical history and examination and lasting at least three weeks. National Center for Biotechnology InformationU. Included studies compared vinegar with topical ofloxacin and surgical excision with antibiotic steroid drops and vinegar. Methods of synthesis Myringitid narrative synthesis was carried out.

Granular myringitis – Wikipedia

Further research of high value is needed. Clear Turn Off Turn On. This study aimed to establish optimal management strategies which could be applied to clinical practice, through systematic review of the current literature.

Trauma and infections of the external ear. Detailed inclusion criteria were set. Fifty-eight publications were identified, dating from to ; 46 of these were potentially relevant. 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.

How to cite item. El-Seifi A, Fouad B.