Towards Optimized Management of Bullous Myringitis: A 5-Year Cohort Study Evaluating Treatment Efficacies, Surgical Risks, and Topical Interventions in Contemporary Practice

Abstract

Bullous Myringitis (BM) is a pathological condition characterised by the formation of painful blisters on the tympanic membrane, leading to challenges in its management. The present study investigated the effectiveness of BM treatment, the potential risks associated with surgical interventions, and the efficacy of topical therapy. The study consisted of a retrospective cohort analysis spanning a period of five years, involving a total of 50 patients diagnosed with Bullous Myringitis. The study encompassed an examination of various aspects, including demographics, symptoms, treatments, and outcomes. The efficacy of topical treatments was evaluated through a randomised controlled trial (RCT). The application of linear regression was employed in order to ascertain the predictors of treatment outcomes. The present study investigated the participants' quality of life and the occurrence of complications. The most commonly reported complaint, ear pain, demonstrated the greatest efficacy when treated with topical medication. The randomised controlled trial (RCT) demonstrated that the implementation of topical treatment resulted in a notable amelioration of symptoms and an increase in patient satisfaction. The treatment modality was found to be a significant predictor of positive outcomes, while no significant associations were observed between age and gender and treatment outcomes. The application of topical therapy resulted in a decrease in the occurrence of granular myringitis and a reduction in sensorineural hearing loss. The patients indicated an enhancement in their quality of life subsequent to the intervention. Personalised therapeutic strategies, surgical prudence, and topical therapies play a crucial role in the management of BM. This study presents a comprehensive framework for the implementation of evidence-based procedures related to bowel movements. In order to validate these findings, it is recommended that comprehensive, prospective studies be conducted on a large scale.