Myringitis (Middle Ear, Tympanic Membrane, Inflammation) Follow-up

Updated: Sep 14, 2020
  • Author: John Schweinfurth, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Follow-up

Further Outpatient Care

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  • Carry out general antibacterial and anti-inflammatory therapy on outpatient basis.

  • Remove the packing from the canal after 7-14 days. Clean out the canal and recommend eardrops 3 times per day until healing is complete.

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Inpatient & Outpatient Medications

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Deterrence/Prevention

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  • Advise patients to protect ears from water in pools or in the shower and to avoid trauma to the EAC and the TM from removal of earwax. Patients who have recurrent episodes of myringitis should be taught to use 70% propyl alcohol or acidifying drops after every exposure to water.

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Complications

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Prognosis

In most cases, patients with myringitis have a favorable prognosis. In case of destruction of the new TM, the surgeon may assess the reasons for the failure and repeat myringoplasty with necessary corrections.

A retrospective, nationwide cohort study from Sweden, by Berglund et al, of patients who underwent myringoplasty found that there was an average 8.8 dB postoperative improvement in pure-tone average. The air-bone gap closed to less than 20 dB in 89% of ears, and to 10 dB or less in 51% of ears. While hearing improved in 61% of patients in whom hearing had deteriorated preoperatively, 3% of patients suffered postoperative hearing deterioration. [11]

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Patient Education

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  • Instruct patients to protect the EAC from penetration of water while washing hair or taking a shower.

  • For excellent patient education resources, visit eMedicineHealth's Ear, Nose, and Throat Center. Also, see eMedicineHealth's patient education articles Earache and Earwax.

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