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Myringitis Granulosa
Myringitis Granulosa
Myringitis Granulosa
De nition:
Granular myringitis (Myringitis granulosa) is a speci c form of otitis externa. It is characterized by the presence of granulation tissue on
the lateral aspect of the ear drum sometimes with involvement of external auditory canal.
Synonyms:
1. Granular myringitis
2. Granulating myringitis
3. Granulomatous otitis externa
4. Chronic myringitis
5. Acute granulomatous myringitis
Symptoms:
Signs:
The ear drum is covered with purulent secretions, which on removal reveals the underlying granulation tissue. Granulations may be
localized or diffuse. The localized form of granulations are the most common, here small areas of the drum are affected, with formation
of one or more polyps. These granulations are common over the postero superior margin of the ear drum. These granulations may also
affect the adjacent wall.
Despite all these signs the ear drum is intact.
All these patients must under go pure tone audiometric evaluation to rule out middle ear pathology.
Management:
Localized form:Meticulous microscopic debridement will help.
Topical administration of steroid / antibiotic ear drops will help
These patients should be treated over a prolonged period to time.
Application of caustic agents like formalin / trichloroacetic acid can be tried.
In refractory cases surgical removal of granulations can be attempted.