Management of myringitis: Current concepts and review

Chung, Juyong; Lee, Doh Young; Kim, Young Ho

doi:10.1002/lary.27179

Cited by 9 publications

(10 citation statements)

References 24 publications

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“…This showed that the 1 per cent diluted vinegar ear drops seemed to be more effective than the 1 per cent chloramphenicol ear drops for treating granular myringitis, but the difference between groups failed to achieve statistical significance. This insignificant result is probably a result of the small number of participants in each subgroup since the previous positive study 5 that we used for sample size calculation used a higher concentration of diluted vinegar with the irrigation method.…”

Section: Discussionmentioning

confidence: 91%

“…Current treatment regimens include topical antibiotics, steroid ear drops, diluted vinegar solution, diluted hydrogen peroxide, 5-fluorouracil, Castellani solution, chemical cauterisation and curettage of the granulation. 1,5 The popular topical ear drops used in our institution are topical antibiotics with or without steroids. However, with these formulations, fungal accumulation in the ear canal might sometimes occur.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of diluted vinegar in treating granular myringitis: a randomised controlled trial

et al. 2021

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Objective This study aimed to evaluate the outcome of granular myringitis treatment of 1 per cent diluted vinegar ear drops or 1 per cent chloramphenicol ear drops and to assess the side effects of 1 per cent diluted vinegar. Method Twenty-four patients aged over 18 years and diagnosed with granular myringitis grade I or II within 90 days of symptom onset were included. Patients were equally randomised into either the 1 per cent diluted vinegar group or the 1 per cent chloramphenicol group. Outcome of treatment and side effects were compared between groups. The main outcome measure was completely epithelialised tympanic membrane at the eight-week period. Results Eleven of 12 patients treated with 1 per cent diluted vinegar had complete recovery. In the 1 per cent chloramphenicol group, 8 of 12 patients recovered. The difference between groups was not statistically significant (p = 0.156). The observed side effects of diluted vinegar included dizziness and mild external auditory canal irritation. Conclusion One per cent diluted vinegar is an interesting option for granular myringitis. Other comparative advantages of 1 per cent diluted vinegar include its low price and no induction of antimicrobial resistance.

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Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Efficacy of diluted vinegar in treating granular myringitis: a randomised controlled trial

et al. 2021

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“…To date, no single therapeutic regimen has been determined to be successful in the management of granular myringitis. [5] In our study, we compared the effect of caustic agent cauterization and CO 2 laser vaporization. We had all patients underwent topical otic drops previous to the surgical treatment at least one month, and the total remission rate was only 22.3% (29/130).…”

Section: Discussionmentioning

confidence: 99%

Compare the management of granular myringitis: carbon dioxide laser and caustic agent cauterization

Kuo

Luo

2022

Preprint

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Background and Objectives Granular myringitis is troublesome for otologist because uncertain etiology and often been overlooked due to vague clinical symptoms and signs. The ideal treatment is elusive. Our study was to investigate the clinical characteristics of granular myringitis and analyzing the effect of the two different strategies, including carbon dioxide laser (CO2 laser) and caustic agent cauterization to manage granular myringitis. Study Design: Retrospective review Subjects and Methods One hundred and thirty patients with granular myringitis receiving treatment at a single medical center from July 2009 to January 2018 were enrolled. We retrospectively reviewed the charts and surgical records. The main two different strategies to manage focal refractory granular myringitis were analyzed, including carbon dioxide laser and caustic solution. We also recorded the clinical course and determine which strategy is better. Results One hundred and thirty patients with granular myringitis were enrolled. 47/130 (36.1%) had previous otologic procedures. Frequent ototrrhea is the most common symptom (66.1%). Posterior-inferior quadrant is the most common site of involvement (58%). The successful rate of CO2 laser, caustic agent were 94.9% and 79.2%. The recurrence rate was comparable between CO2 laser and caustic agent. No major complication was found in either individual group. Conclusion: Otologic procedure may be a predisposing factor of focal chronic myringitis. Ear drops had poor efficacy compared to other treatments. It can be apply only on minor and fresh symptom cases. In this study, we suggest CO2 laser can be the first line treatment, especially for the troublesome or refractory GM cases, which had the higher successful rate and less complication comparing to caustic agent cauterization.

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“…A recent systematic review highlighted the non-existence of any randomized controlled trial in GM ( Chung et al, 2018 ). By comparing all the treatment options, surgery seems to be the most effective treatment option ( Chung et al, 2018 ). However, the topical agents form an essential line of therapy even now, having been used as an adjunct with either of laser therapy or surgery.…”

Section: Granular Myringitismentioning

confidence: 99%

Myringitis: An update

Devaraja

2019

Journal of Otology

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Myringitis can be acute or chronic. Though they commonly present with ear discharge with or without pain, the etiology and the management principles differ. Granular myringitis generally is an external ear pathology extending to tympanic membrane and present as painless otorrhea, whereas the bullous myringitis is commonly associated with acute inflammation of middle ear cleft and present with severe ear pain. This literature review discusses the clinical as well as the therapeutic aspects of these inflammatory conditions.

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Management of myringitis: Current concepts and review

Cited by 9 publications

References 24 publications

Efficacy of diluted vinegar in treating granular myringitis: a randomised controlled trial

Efficacy of diluted vinegar in treating granular myringitis: a randomised controlled trial

Compare the management of granular myringitis: carbon dioxide laser and caustic agent cauterization

Myringitis: An update

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