Abstract
Background: Granular myringitis (GM) is considered a rare infection of the tympanic membrane (TM) that is marked by granulation tissue formation. The disease has rarely been described in the pediatric-age patients. The aim of this study was to describe the clinical characteristics of the disease in children. Material: A 4-year prospective study on all children with GM in a primary otolaryngology practice affiliated to a tertiary academic medical center. GM was defined by de-epithelization of the TM with granulation tissue formation and discharge. Children with otitis media were excluded. Treatment included topical application of ear drops and caustic solution in unresponsive cases. Results: Fourteen children, eight boys and six girls, aged 1–16 years (mean=10.1), were diagnosed with GM. Plugged ear (9) and aural discharge (6) were the most common symptoms. GM was expressed either by a tiny shallow lesion (7) or by raised polypoidal masses (7) involving part or the whole area of the TM. All infections recovered within 2–12 weeks (mean 3.9). Recurrent infection was noted twice in two children. Histopathological studies revealed non-specific acute and chronic inflammatory reaction. Conclusions: Granular myringitis is not infrequently encountered among children in primary ENT practice. Its more aggressive form may mimic chronic suppurative otitis media. Still, GM has a benign course responding to topical treatment.
Published Version
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