Myringitis

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Arto A Palmu - One of the best experts on this subject based on the ideXlab platform.

  • no evidence of mycoplasma pneumoniae in acute Myringitis
    Pediatric Infectious Disease Journal, 2004
    Co-Authors: Mikko J Kotikoski, Marjaana Kleemola, Arto A Palmu
    Abstract:

    Our aim was to discover Mycoplasma pneumoniae in bullous and hemorrhagic Myringitis in children <2 years of age. Middle ear fluid samples (n = 37) and samples taken from the blisters of the tympanic membranes (n = 12) studied by polymerase chain reaction for M. pneumoniae were negative. This study does not support an important role for M. pneumoniae as an etiologic agent in acute Myringitis.

  • the epidemiology of acute bullous Myringitis and its relationship to recurrent acute otitis media in children less than 2 years of age
    International Journal of Pediatric Otorhinolaryngology, 2003
    Co-Authors: Mikko J Kotikoski, Arto A Palmu, Heini Huhtala, Helja Savolainen, H Puhakka
    Abstract:

    Abstract Objective: To evaluate the epidemiological characteristics of acute bullous Myringitis (BM), i.e. inflammation of the tympanic membrane with blister(s) in children

  • the symptoms and clinical course of acute bullous Myringitis in children less than two years of age
    International Journal of Pediatric Otorhinolaryngology, 2003
    Co-Authors: Mikko J Kotikoski, Arto A Palmu, H Puhakka
    Abstract:

    Abstract Objective: the most characteristic symptom of acute bullous Myringitis (inflammation of the tympanic membrane) is a sudden onset of severe ear pain. However, in infants and young children a precise symptom history is more difficult to obtain and the symptoms may be less specific. Our objective was to determine the occurrence of different symptoms, signs and the recovery of symptoms during the course of acute bullous Myringitis in children less than 2 years. We also evaluated whether there were any specific features in bullous Myringitis in comparison with acute otitis media (AOM). Methods: 2028 children (aged 7–24 months) at primary care level in a prospective longitudinal cohort study in the Finnish Otitis Media Vaccine Trial. Results: during the follow-up there were 86 office visits with bullous Myringitis in 92 ears and 1876 office visits with acute otitis media in 2683 ears. Middle ear fluid developed in 97% of cases of bullous Myringitis during the course of disease. Earache was present in 58% and fever (≥38 °C) in 62% of cases of bullous Myringitis. The symptoms of upper respiratory tract infection (rhinitis in 93% and cough in 73% of events) were present in a majority of cases. Earache, fever, rubbing of the ear, restless sleeping, excessive crying and poor appetite were present more often in bullous Myringitis than in acute otitis media. The symptoms were relieved in 1–2 days in a majority of cases. There were no recognized cases of bullous Myringitis in ears with patent tympanostomy tubes. Conclusions: acute bullous Myringitis in children represents a special form of AOM with more severe symptoms. Earache and fever were more common in bullous Myringitis than in AOM. However, the condition resolved rapidly and the short-term outcome was good.

  • evaluation of the role of respiratory viruses in acute Myringitis in children less than two years of age
    Pediatric Infectious Disease Journal, 2002
    Co-Authors: Mikko J Kotikoski, Arto A Palmu, Johanna Noksokoivisto, Marjaana Kleemola
    Abstract:

    Background.The etiology of acute Myringitis remains controversial although it is usually encountered in connection with acute otitis media (AOM). In most cases of acute Myringitis a bacterial pathogen has been detected in the middle ear fluid, but the role of respiratory viruses has remained unclear

  • bacterial etiology of acute Myringitis in children less than two years of age
    Pediatric Infectious Disease Journal, 2001
    Co-Authors: Arto A Palmu, Mikko J Kotikoski, Tarja Kaijalainen, H Puhakka
    Abstract:

    BACKGROUND: Acute Myringitis is an inflammation of the tympanic membrane that occurs alone or in association with external otitis or otitis media. The two clinical entities, based on physical examination, are bullous Myringitis and hemorrhagic Myringitis. OBJECTIVES: To investigate the association of concomitant middle ear disease with acute Myringitis and to analyze the bacteriologic findings of the middle ear fluid in children with acute Myringitis. METHODS: A prospective longitudinal cohort study of 2028 children age 7 to 24 months at primary care level in the Finnish Otitis Media Vaccine Trial. Matched case-control design for analysis of bacterial pathogen distribution. RESULTS: There were 82 children in whom 92 ears were diagnosed with acute bullous Myringitis and 37 children in whom 40 ears were diagnosed with hemorrhagic Myringitis during the follow-up. Middle ear disease was associated with bullous Myringitis in 97% of ears and with hemorrhagic Myringitis in 82% of ears. Bacterial pathogen distribution was similar to that of acute otitis media, although a higher proportion of Streptococcus pneumoniae was detected in both bullous and hemorrhagic acute Myringitis. CONCLUSIONS: Middle ear fluid was present in vast majority of ears with acute Myringitis in young children. The same etiologic bacteria were found in acute Myringitis as in acute otitis media, but S. pneumoniae was the major pathogen. Acute bullous Myringitis should be treated as acute otitis media in children <2 years of age.

Mikko J Kotikoski - One of the best experts on this subject based on the ideXlab platform.

  • no evidence of mycoplasma pneumoniae in acute Myringitis
    Pediatric Infectious Disease Journal, 2004
    Co-Authors: Mikko J Kotikoski, Marjaana Kleemola, Arto A Palmu
    Abstract:

    Our aim was to discover Mycoplasma pneumoniae in bullous and hemorrhagic Myringitis in children <2 years of age. Middle ear fluid samples (n = 37) and samples taken from the blisters of the tympanic membranes (n = 12) studied by polymerase chain reaction for M. pneumoniae were negative. This study does not support an important role for M. pneumoniae as an etiologic agent in acute Myringitis.

  • the epidemiology of acute bullous Myringitis and its relationship to recurrent acute otitis media in children less than 2 years of age
    International Journal of Pediatric Otorhinolaryngology, 2003
    Co-Authors: Mikko J Kotikoski, Arto A Palmu, Heini Huhtala, Helja Savolainen, H Puhakka
    Abstract:

    Abstract Objective: To evaluate the epidemiological characteristics of acute bullous Myringitis (BM), i.e. inflammation of the tympanic membrane with blister(s) in children

  • the symptoms and clinical course of acute bullous Myringitis in children less than two years of age
    International Journal of Pediatric Otorhinolaryngology, 2003
    Co-Authors: Mikko J Kotikoski, Arto A Palmu, H Puhakka
    Abstract:

    Abstract Objective: the most characteristic symptom of acute bullous Myringitis (inflammation of the tympanic membrane) is a sudden onset of severe ear pain. However, in infants and young children a precise symptom history is more difficult to obtain and the symptoms may be less specific. Our objective was to determine the occurrence of different symptoms, signs and the recovery of symptoms during the course of acute bullous Myringitis in children less than 2 years. We also evaluated whether there were any specific features in bullous Myringitis in comparison with acute otitis media (AOM). Methods: 2028 children (aged 7–24 months) at primary care level in a prospective longitudinal cohort study in the Finnish Otitis Media Vaccine Trial. Results: during the follow-up there were 86 office visits with bullous Myringitis in 92 ears and 1876 office visits with acute otitis media in 2683 ears. Middle ear fluid developed in 97% of cases of bullous Myringitis during the course of disease. Earache was present in 58% and fever (≥38 °C) in 62% of cases of bullous Myringitis. The symptoms of upper respiratory tract infection (rhinitis in 93% and cough in 73% of events) were present in a majority of cases. Earache, fever, rubbing of the ear, restless sleeping, excessive crying and poor appetite were present more often in bullous Myringitis than in acute otitis media. The symptoms were relieved in 1–2 days in a majority of cases. There were no recognized cases of bullous Myringitis in ears with patent tympanostomy tubes. Conclusions: acute bullous Myringitis in children represents a special form of AOM with more severe symptoms. Earache and fever were more common in bullous Myringitis than in AOM. However, the condition resolved rapidly and the short-term outcome was good.

  • evaluation of the role of respiratory viruses in acute Myringitis in children less than two years of age
    Pediatric Infectious Disease Journal, 2002
    Co-Authors: Mikko J Kotikoski, Arto A Palmu, Johanna Noksokoivisto, Marjaana Kleemola
    Abstract:

    Background.The etiology of acute Myringitis remains controversial although it is usually encountered in connection with acute otitis media (AOM). In most cases of acute Myringitis a bacterial pathogen has been detected in the middle ear fluid, but the role of respiratory viruses has remained unclear

  • bacterial etiology of acute Myringitis in children less than two years of age
    Pediatric Infectious Disease Journal, 2001
    Co-Authors: Arto A Palmu, Mikko J Kotikoski, Tarja Kaijalainen, H Puhakka
    Abstract:

    BACKGROUND: Acute Myringitis is an inflammation of the tympanic membrane that occurs alone or in association with external otitis or otitis media. The two clinical entities, based on physical examination, are bullous Myringitis and hemorrhagic Myringitis. OBJECTIVES: To investigate the association of concomitant middle ear disease with acute Myringitis and to analyze the bacteriologic findings of the middle ear fluid in children with acute Myringitis. METHODS: A prospective longitudinal cohort study of 2028 children age 7 to 24 months at primary care level in the Finnish Otitis Media Vaccine Trial. Matched case-control design for analysis of bacterial pathogen distribution. RESULTS: There were 82 children in whom 92 ears were diagnosed with acute bullous Myringitis and 37 children in whom 40 ears were diagnosed with hemorrhagic Myringitis during the follow-up. Middle ear disease was associated with bullous Myringitis in 97% of ears and with hemorrhagic Myringitis in 82% of ears. Bacterial pathogen distribution was similar to that of acute otitis media, although a higher proportion of Streptococcus pneumoniae was detected in both bullous and hemorrhagic acute Myringitis. CONCLUSIONS: Middle ear fluid was present in vast majority of ears with acute Myringitis in young children. The same etiologic bacteria were found in acute Myringitis as in acute otitis media, but S. pneumoniae was the major pathogen. Acute bullous Myringitis should be treated as acute otitis media in children <2 years of age.

Young Ho Kim - One of the best experts on this subject based on the ideXlab platform.

  • management of Myringitis current concepts and review
    Laryngoscope, 2018
    Co-Authors: Juyong Chung, Doh Young Lee, Young Ho Kim
    Abstract:

    OBJECTIVES This study reviews the proposed mechanisms underlying the development of Myringitis and suggests optimal guidelines for the successful treatment and prevention of recurrence through a literature review. REVIEW METHODS Studies reporting the treatment outcomes of Myringitis were systematically reviewed by searching the MEDLINE, PubMed, and Embase databases for studies published from 2000 to 2017. The search for Myringitis yielded 57 results, and 31 were found to be relevant. Thirteen articles related to bullous Myringitis associated with acute otitis media were excluded; the remaining 18 were included in this study. The studies were reviewed with attention to clinical characteristics, treatment options, and results after treatment. RESULTS Among 18 publications, 10 suggested therapeutic options for Myringitis: 1) five studies suggested management using topical agents, 2) three studies suggested laser-assisted treatment, and 3) two studies suggested surgical treatment. Treatments using topical agents or a laser showed highly variable resolution rates (63.6%-100% and 20%-85.7%, respectively). Two studies introducing surgical therapy reported good treatment outcomes (95.8%-100%). Five articles discussed the characteristics or diagnosis of Myringitis; however, there was a lack of evidence for the related mechanism. CONCLUSIONS No well-designed randomized studies have assessed optimal treatments. Although surgery showed better treatment results than topical agents and laser-assisted treatment, the wide range of resolution rates indicates that proper patient selection is needed. Further studies are needed to improve the current understanding and management of Myringitis. Laryngoscope, 128:2157-2162, 2018.

  • Clinical characteristics of granular Myringitis treated with castellani solution
    European Archives of Oto-Rhino-Laryngology, 2011
    Co-Authors: Young Ho Kim
    Abstract:

    Aim of the study is to observe clinical manifestations of granular Myringitis (GM) treated with castellani solution. Twenty-four patients (18 women and 6 men; mean age, 49.7 years; range, 9–77 years) diagnosed with GM and treated with castellani solution were enrolled retrospectively. Topical treatment using castellani solution with or without curettage of a granular lesion and serial otoendoscopy-aided photographic documentation of the tympanic membrane were performed. Outpatient follow-up period ranged from 3 to 72 months and the mean follow-up period was 14.4 months. GM was classified into marginal/non-marginal type and ulcerative/polypoid subtype using a new scale. According to the scale used in this study, the marginal and ulcerative GM was the predominant type of GM lesion. Bacterial cultures of ear discharges from 19 patients revealed Staphylococcus , Corynebacterium and Providencia stuartii in 12, 5, and 1 patient, respectively and no growth of bacteria in one patient. Of 24 patients, 23 showed complete resolution of GM after treatment with castellani solution. However, one patient had a persistent, small, dry, deepithelialized lesion and eight others required more than 3 months for complete recovery owing to a persistent residual lesion. There was recurrence in two patients but the lesion resolved after additional castellani treatment. Topical application of castellani solution is a simple and effective treatment for GM. This study suggests a potential of castellani solution for treatment of GM with a serial photographic documentation and novel classification scale for description of lesions. A sufficiently long follow-up period is essential to confirm a complete recovery of GM.

  • endoscopy aided laser therapy for intractable granular Myringitis
    Journal of Laryngology and Otology, 2006
    Co-Authors: Chul Ho Jang, Young Ho Kim, Youngbum Cho, Pachun Wang
    Abstract:

    Objective: We report our technique and results for endoscopy-aided CO2 laser therapy for the treatment of intractable granular Myringitis, as an out-patient office procedure.Materials and methods: A total of 21 patients (14 women and seven men; mean age 32.6 years) were retrospectively reviewed, all of whom suffered from intractable granular Myringitis and had undergone endoscopy-aided laser treatment. Granulation tissue was vaporized for one to two seconds with a CO2 laser (spot size 0.5–1 mm with a power setting of 5–10 W in continuous mode). The mean follow-up period was 11 months.Results: Eighteen of the 21 patients (85 per cent) were cured after a single treatment. Three patients with the diffuse form of the disease required repeat laser treatments coupled with self-irrigation with a diluted vinegar solution. We noted no perforations of patients' tympanic membranes after laser vaporization. We also observed no recurrences over follow-up periods ranging from three months to 2.6 years. Our laser procedure produced no adverse effect on hearing thresholds, nor were any other complications observed.Conclusion: Our results suggest that endoscopy-aided CO2 laser ablation is a reliable and minimally invasive method associated with low rates of recurrence and a low incidence of complications. It can be conducted as an office procedure.

H Puhakka - One of the best experts on this subject based on the ideXlab platform.

  • the epidemiology of acute bullous Myringitis and its relationship to recurrent acute otitis media in children less than 2 years of age
    International Journal of Pediatric Otorhinolaryngology, 2003
    Co-Authors: Mikko J Kotikoski, Arto A Palmu, Heini Huhtala, Helja Savolainen, H Puhakka
    Abstract:

    Abstract Objective: To evaluate the epidemiological characteristics of acute bullous Myringitis (BM), i.e. inflammation of the tympanic membrane with blister(s) in children

  • the symptoms and clinical course of acute bullous Myringitis in children less than two years of age
    International Journal of Pediatric Otorhinolaryngology, 2003
    Co-Authors: Mikko J Kotikoski, Arto A Palmu, H Puhakka
    Abstract:

    Abstract Objective: the most characteristic symptom of acute bullous Myringitis (inflammation of the tympanic membrane) is a sudden onset of severe ear pain. However, in infants and young children a precise symptom history is more difficult to obtain and the symptoms may be less specific. Our objective was to determine the occurrence of different symptoms, signs and the recovery of symptoms during the course of acute bullous Myringitis in children less than 2 years. We also evaluated whether there were any specific features in bullous Myringitis in comparison with acute otitis media (AOM). Methods: 2028 children (aged 7–24 months) at primary care level in a prospective longitudinal cohort study in the Finnish Otitis Media Vaccine Trial. Results: during the follow-up there were 86 office visits with bullous Myringitis in 92 ears and 1876 office visits with acute otitis media in 2683 ears. Middle ear fluid developed in 97% of cases of bullous Myringitis during the course of disease. Earache was present in 58% and fever (≥38 °C) in 62% of cases of bullous Myringitis. The symptoms of upper respiratory tract infection (rhinitis in 93% and cough in 73% of events) were present in a majority of cases. Earache, fever, rubbing of the ear, restless sleeping, excessive crying and poor appetite were present more often in bullous Myringitis than in acute otitis media. The symptoms were relieved in 1–2 days in a majority of cases. There were no recognized cases of bullous Myringitis in ears with patent tympanostomy tubes. Conclusions: acute bullous Myringitis in children represents a special form of AOM with more severe symptoms. Earache and fever were more common in bullous Myringitis than in AOM. However, the condition resolved rapidly and the short-term outcome was good.

  • bacterial etiology of acute Myringitis in children less than two years of age
    Pediatric Infectious Disease Journal, 2001
    Co-Authors: Arto A Palmu, Mikko J Kotikoski, Tarja Kaijalainen, H Puhakka
    Abstract:

    BACKGROUND: Acute Myringitis is an inflammation of the tympanic membrane that occurs alone or in association with external otitis or otitis media. The two clinical entities, based on physical examination, are bullous Myringitis and hemorrhagic Myringitis. OBJECTIVES: To investigate the association of concomitant middle ear disease with acute Myringitis and to analyze the bacteriologic findings of the middle ear fluid in children with acute Myringitis. METHODS: A prospective longitudinal cohort study of 2028 children age 7 to 24 months at primary care level in the Finnish Otitis Media Vaccine Trial. Matched case-control design for analysis of bacterial pathogen distribution. RESULTS: There were 82 children in whom 92 ears were diagnosed with acute bullous Myringitis and 37 children in whom 40 ears were diagnosed with hemorrhagic Myringitis during the follow-up. Middle ear disease was associated with bullous Myringitis in 97% of ears and with hemorrhagic Myringitis in 82% of ears. Bacterial pathogen distribution was similar to that of acute otitis media, although a higher proportion of Streptococcus pneumoniae was detected in both bullous and hemorrhagic acute Myringitis. CONCLUSIONS: Middle ear fluid was present in vast majority of ears with acute Myringitis in young children. The same etiologic bacteria were found in acute Myringitis as in acute otitis media, but S. pneumoniae was the major pathogen. Acute bullous Myringitis should be treated as acute otitis media in children <2 years of age.

Marjaana Kleemola - One of the best experts on this subject based on the ideXlab platform.

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