GRANULAR MYRINGITIS PDF

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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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Two studies were included in the review: 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. Other electronic resources searched: Granular myringitis is a chronic disorder characterised by lateral squamous de-epithelialisation and granulation of the tympanic membrane. Methods of synthesis A narrative synthesis was carried out.

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. How to cite item. There was a reduced recurrence of granular myringitis in both studies’ intervention groups, although neither study was randomised or blinded, making it difficult to assess the clinical relevance of the results.

Publication bias cannot be ruled out.

Granular myringitis – Wikipedia

Surgery may be a viable option for intractable symptomatic patients. Trauma and infections of franular external ear. Epub Jan User Username Password Remember me. The presenting symptom of GM is an ear discharge which may be foul-smelling.

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Granular myringitis

Incidence and clinical characteristics. Neither study was randomised or blinded at any stage. Untreated, granular myringitis can lead to post-inflammatory medial external auditory canal fibrosis, acquired canal atresia and inflammatory infiltration of the deep canal. However, myrigitis following conclusions can be inferred. Topical 5-fluorouracil for granular myringitis: The authors did not state how papers were selected for review or how many reviewers performed the selection.

Changes in bacteriology of discharging ears.

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. After assessment using the preset inclusion criteria, only two studies remained. The clinical features and pathogenesis of myringitis granulosa. The authors did not state how the data were extracted for this review or how many reviewers performed the data extraction.

Turn recording back on. Show details York UK: Abstract The Granular Myringitis GM is not uncommon though in medical literature it has been reported among the rarer conditions.

Two patients reported mild ear discomfort and one reported mild dizziness in the vinegar solution arm. CRD summary The review concludes that dilute vinegar solution should be considered over conventional antibiotic drops for the treatment of granular myringitis.

Laser therapy for refractory myringitis in children.

The aim of this article is to review the clinical features and management of Granular Myringitis GM. If perforation occurs the underlay perichondrium or temporalis fascia grafting is done.

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Support Center Support Center. The search strategy was not reported fully, particularly with relation to unpublished literature. Searching Databases searched between and Fifty-eight publications were identified, dating from to ; 46 of these were potentially relevant. This study aimed to establish optimal management strategies which could be applied to clinical practice, through systematic review of the current literature.

Current journals not named were handsearched for recent publications.

The authors stated that treatment with dilute vinegar solution should be considered as a logical nonharmful alternative to conventional antibiotic and steroid drops. Combined tympanic epithelial layer avulsion and overlay myringoplasty for diffuse granular myringitis.

Management of granular myringitis: a systematic review.

However, Jung et al. BMJ journals, various journal websites, citation indices and general internet searches. Community-acquired methicillin-resistant Staphylococcus aureus infections in discharging ears.

El-Seifi A, Fouad B. Similar articles in PubMed. Further research of high value is needed. Acceptable interventions included any topical or oral therapy or surgical management. The primary outcome measured was the effect of the proposed intervention on recurrence of granular myringitis, compared with empirical antibiotic therapy. Email this article Login required.

For each included study, the reviewers appear to have extracted data on recurrence for each treatment group.

The primary outcome measure was disease recurrence.