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Granular myringitis in children.

M Wolf1, A Primov-Fever, I Barshack

  • 1Department of Otorhinolaryngology Head & Neck Surgery, Chaim-Sheba Medical Center, 52621 Tel-Hashomer, Israel. wolfm@post.tau.ac.il

International Journal of Pediatric Otorhinolaryngology
|February 13, 2001
PubMed
Summary
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Granular myringitis (GM), a rare tympanic membrane infection, presents differently in children. This study found GM in children is treatable with topical therapies and has a benign course.

Area of Science:

  • Otolaryngology
  • Pediatric Infectious Diseases

Background:

  • Granular myringitis (GM) is a rare infection of the tympanic membrane (TM), primarily documented in adults.
  • Its occurrence and clinical presentation in pediatric populations are not well-established.

Purpose of the Study:

  • To evaluate the clinical characteristics of granular myringitis (GM) in children.
  • To understand the disease presentation, treatment response, and outcomes in pediatric patients.

Main Methods:

  • A 2-year prospective study involving children diagnosed with GM in a primary otolaryngology practice.
  • GM diagnosis criteria included TM de-epithelization, granulation tissue, and discharge, excluding otitis media.
  • Treatment involved topical ear drops, with caustic solutions or mechanical removal for refractory cases.

Related Experiment Videos

Main Results:

  • Nine children (5 male, 4 female; age 3-16 years) were diagnosed with GM.
  • Common symptoms included plugged ear (6) and aural discharge (5).
  • Lesions varied from shallow to polypoidal; all children recovered within 2-11 weeks, with one experiencing recurrence. Two children developed small TM perforations.

Conclusions:

  • Granular myringitis (GM) should be recognized as a condition occurring in children.
  • GM in children demonstrates a benign clinical course and responds well to topical treatments.
  • While TM perforation can occur, the middle ear remains unaffected, differentiating it from chronic suppurative otitis media.