Diseases of the tympanic membrane - IV

Granular myringitis is an uncommon disease of unknown etiology. Recently, Pseudomonas aeroguinosa is accused as a causative factor.

Clinical picture:

Symptoms consist of itching, mild pain, and otorrhea. The otorrhea is usually sparse. Symptoms have often been present for many months before the diagnosis is made. The tympanic membrane is covered with granulation tissue that is often obscured by the discharge.

Treatment:

1. Long term antibiotic steroid drops (4-6 weeks) and weekly cleaning.

2. Broad-spectrum systemic antibiotics (culture and sensitivity directed) are sometimes beneficial.

3. Repeated cautery of the granulations.

Category: ENT Notes