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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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Assessment of study quality Included studies were assessed using the Oxford Centre for Evidence Based Medicine grading system and the following criteria: Studies of granulae with co-morbid middle-ear disease were excluded from the review as were patients with diagnoses based solely on clinical history. The review concludes that dilute vinegar solution should be considered over conventional antibiotic drops for the treatment of granular myringitis.

This study aimed to establish optimal management strategies which could be applied to clinical practice, through systematic review of the current literature.

Management of granular myringitis: a systematic review.

The presenting symptom of GM is an ear discharge which may be foul-smelling. No information was reported about the side effects of oflaxacin.


Vinegar treatment in the management of granular myringitis. Combined tympanic epithelial layer avulsion and overlay myringoplasty for diffuse granular myringitis. National Center for Biotechnology InformationU.

Granular myringitis

Quality assessment was carried out, but the myringittis do not seem to have been taken into account in the analysis. How to cite item. Results of the review Two studies were included in the review: If patients do not respond then application of topical caustic agents are employed.

The methodology of this review was poorly reported — for example, there were no details on the study selection, quality assessment or data extraction phases — so it was difficult to judge the extent to which various sources of error and bias may have influenced the process and final results.

Clinical characteristics of granular myringitis treated with castellani solution. 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. WB Saunders Company; Diseases of the tympanic membrane. After assessment using the preset inclusion criteria, only two studies remained. El-Seifi and Fouad found that surgical excision of granulation tissue resulted in myeingitis 80 per cent reduction in recurrence of granular myringitis when compared with conventional antibiotic therapy.


Management of granular myringitis: a systematic review.

Please review our privacy policy. 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. Topical 5-fluorouracil for granular myringitis: The authors did not state how papers were selected for review or how many reviewers performed the selection.

Show details York UK: This was a poorly reported review and the conclusions should be regarded with caution. Publication bias cannot be ruled out.

Fifty-eight publications were identified, dating from to ; 46 of these were potentially relevant. Searching Databases searched between and Clear Turn Off Turn On.

Otolaryngol Head Neck Surg. Cochrane Database Syst Rev. This is a critical abstract of a systematic review that meets the criteria for branular on DARE. The Granular Myringitis GM is not uncommon though in medical literature it has been reported among the rarer conditions. Journal of Laryngology and Otology ; 1: El-Seifi A, Fouad B.