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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Infection and inflammation of the ear. Centre for Reviews and Dissemination UK ; Trauma and infections of the external ear.
Management of granular myringitis: a systematic review.
National Center for Biotechnology InformationU. Granular myringitis is a chronic disorder characterised by lateral squamous de-epithelialisation and granulation rganular the tympanic membrane. Included studies were assessed using the Oxford Centre for Evidence Based Medicine grading system and the following criteria: Clear Turn Off Turn On.
Management of granular myringitis: Data extraction For each included study, the reviewers appear to have extracted data on recurrence for each treatment group. User Username Password Remember me. 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.
The ensuing fibrosis in patients with granulations of deep bony meatal wall can result into an atresia of the deep bony EAC.
Data were retrieved from the selected studies and checked for accuracy and consistency. Vinegar treatment in the management of granular myringitis. Support Center Support Center.
BMJ journals, various journal websites, citation indices and general internet searches. WB Saunders Company; Review Interventions for acute otitis externa.
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.
The review concludes that dilute vinegar solution should be considered over conventional antibiotic drops for the treatment of granular myringitis. Acceptable interventions included any topical or oral therapy or surgical management. The search strategy was not reported fully, particularly with relation to unpublished literature.
Quality assessment was carried out, but the results do not seem to have been taken into account in the analysis. For each included study, the reviewers appear to have extracted data on recurrence for each treatment group. Current journals not named were handsearched for recent publications. These data were then used to calculate a risk difference RD and number needed to treat NNT for each study.
Show details York UK: The authors did not state how papers were selected for review or how many reviewers performed the selection.
Granular myringitis – Wikipedia
Similar articles in PubMed. Implications of the review for practice and research Practice: El-Seifi and Fouad found that surgical excision gdanular granulation tissue resulted in an 80 per cent reduction in recurrence of granular myringitis when compared with conventional antibiotic therapy.
The primary outcome measured was the effect of the proposed intervention on recurrence of granular myringitis, compared with empirical antibiotic therapy. The authors stated that treatment with dilute vinegar solution should be considered granulaar a logical nonharmful alternative to conventional antibiotic and steroid drops.
Other electronic resources searched: Fifty-eight publications were identified, dating from to ; 46 of these were potentially relevant. Community-acquired methicillin-resistant Staphylococcus aureus infections in discharging ears. Studies of patients with myringigis middle-ear disease were excluded from the review as were patients with diagnoses based solely on clinical history.
Assessment of study quality Included studies were assessed using the Oxford Centre for Evidence Based Medicine grading system and the following criteria: Study selection Randomised controlled trials RCTscontrolled case studies and observational studies of any management or treatment strategy for adults with granular myringitis were eligible for inclusion myrinvitis the review.