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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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.
Laser therapy for refractory myringitis in children. 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.
The presenting symptom of GM is an ear discharge which may be foul-smelling. Diseases of the tympanic membrane.
These data were then used to calculate a risk difference RD and number needed to treat NNT for each study. Article Tools Print this article. The search strategy was not reported fully, particularly with relation to unpublished literature.
After assessment using the preset inclusion criteria, only two studies remained. Otolaryngol Head Neck Surg. Searching Databases searched between and Some of the search terms used were reported. Authors’ objectives To establish optimal management and intervention strategies for granular myringitis. However many patients have a sensation of fullness, irritation, mild pain or itching in the ear. Abstract The Granular Myringitis GM is not uncommon though in medical literature it has been reported among the rarer conditions.
If patients do not respond then application of topical caustic agents are employed. Quality assessment was carried out, but the results do not seem geanular have been taken into account in the analysis. Implications of myringiris review for practice and research Practice: Databases searched between and BMJ journals, various journal websites, citation indices and general internet searches.
Epub Jan Vinegar treatment in the management of granular myringitis. Authors’ conclusions Alternative therapies such as dilute vinegar solution should be considered over conventional antibiotic drops when treating granular myringitis. Clinical characteristics of granular myringitis treated with castellani solution. Studies of patients with co-morbid middle-ear disease were excluded from the review as were patients with diagnoses based solely on clinical history.
Cochrane Database Syst Rev.
Management of granular myringitis: a systematic review.
Fifty-eight publications were identified, dating from to ; 46 of these were potentially relevant. The authors did not state how the validity assessment was performed. Publication bias cannot be ruled out. Show details York UK: Detailed inclusion criteria were set.
Keywords Granular myringitis, Tympanic membrane, External auditory canal, Granular otitis externa, Otitis. This study aimed to establish optimal management strategies which could be applied to clinical practice, through systematic review of the current literature. Study selection Randomised controlled granulae RCTscontrolled case studies and observational studies of any management or treatment strategy for adults with granular myringitis were eligible for inclusion in mgringitis review.
Other electronic resources searched: Included studies were assessed using the Oxford Centre for Evidence Based Medicine grading system and the following criteria: The mean age of included participants was 29 or This is a critical abstract of a systematic review that meets the criteria for inclusion on DARE.
Granular myringitis: a review.
The aim of this article is to review the clinical features and management of Granular Myringitis GM. National Center for Biotechnology InformationU. Changes in bacteriology of discharging ears. The granulations over tympanic membrane continue to grow slowly for years. 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.
WB Saunders Company; Results of the review Two studies were included in the review: If perforation occurs the underlay perichondrium or temporalis fascia grafting is done.
Centre for Reviews and Dissemination UK ; Combined tympanic epithelial layer avulsion and overlay myringoplasty for diffuse granular myringitis.
The primary outcome measure was disease recurrence. Data extraction For each included study, the reviewers appear to have extracted data on recurrence for each treatment group.
Management of granular myringitis: a systematic review.
In some of the refractory cases granulations are removed and the raw area is covered with skin. This review addressed a clear clinical question with detailed inclusion criteria that appear to have been adhered to.
Randomised controlled trials RCTscontrolled case studies and observational studies of any management granukar treatment strategy for adults with granular myringitis were eligible for inclusion in the review. The Granular Myringitis GM is not uncommon though in medical literature it has been reported among the rarer conditions. The authors did not state how papers were selected for review or how many reviewers performed the selection.
The conclusion is based on just two small poorly designed studies and may not be reliable.