Granular Myringitis Treatment at Siriraj Hospital

Abstract

Objective: To review the clinical features and management of patients diagnosed with granular myringitis at Siriraj Hospital, during 2014–2016, and their applications in clinical practice.
Methods: The clinical data of 115 patients diagnosed with myringitis at the Department of Otorhinolaryngology, Faculty of Medicine Siriraj Hospital, between September 1, 2014, and September 30, 2016, were retrospectively reviewed. Patients who were lost to follow-up after the first visit or patients who were diagnosed with other diseases, such as bullous myringitis, were excluded, leaving 96 patients included in the study. Patient information and data, including age, gender, underlying disease, history of ear disease and surgery, symptoms, duration, type of treatment, outcome, total follow-up time, complications, and recurrence rate were recorded.
Results: In total, 96 patients (27 men (28.10%) and 69 women (71.90%)) were included in the study. Their ages ranged from 3 to 90 years old (mean, 52.88). Sixty-two patients (64.60%) were diagnosed by otologic staff. The average duration of symptoms from onset was 5.6 months (range, 0.03–60.80 months). The most frequent symptom was otorrhea (55.3%). There were 38 treatment regimens applied. The most common medications used were topical antibiotics with steroids (28.11%), topical antibiotics (24.91%), and diluted vinegar (17.08%). There was no significant difference in the curative rate between these regimens (p = 0.261).
Conclusion: Granular myringitis is a poorly understood condition and there is no standard treatment regimen. While there is a great variation in the treatment of granular myringitis at Siriraj Hospital, this retrospective review showed there was no statistical significant difference among the different regimens. Further high-value research is needed to further assess the management strategies.