Combined tympanic epithelial layer avulsion and overlay myringoplasty for diffuse granular myringitis

J Laryngol Otol. 2010 Aug;124(8):842-5. doi: 10.1017/S0022215110000824. Epub 2010 Apr 7.

Abstract

Objective: To explore the feasibility of a novel surgical management technique for severe, chronic granular myringitis with diffuse granulation tissue over the tympanic membrane, with or without involvement of the external auditory canal.

Study design: This was a retrospective design.

Method: A surgical technique combining tympanic epithelial avulsion with overlay myringoplasty was used to treat 21 severe cases.

Results: All 21 cases were cured after one operation. Three months after surgery, patients' tympanic membranes had returned to normal, and their air-bone gaps were less than 10 dB.

Conclusion: This new surgical procedure represents improved treatment for severe, chronic granular myringitis.

Publication types

  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Chronic Disease
  • Ear Diseases / surgery*
  • Feasibility Studies
  • Female
  • Granulation Tissue / pathology
  • Granuloma / surgery*
  • Humans
  • Male
  • Middle Aged
  • Myringoplasty / methods
  • Otologic Surgical Procedures / methods*
  • Retrospective Studies
  • Severity of Illness Index
  • Treatment Outcome
  • Tympanic Membrane / surgery*
  • Young Adult