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Myringitis

(Bullous Myringitis)

By

Richard T. Miyamoto

, MD, MS, Indiana University School of Medicine

Last full review/revision Jun 2020| Content last modified Jun 2020
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Myringitis can develop with viral, bacterial (particularly Streptococcus pneumoniae), or mycoplasmal otitis media. Pain occurs suddenly and persists for 24 to 48 hours. Hearing loss and fever suggest a bacterial origin. Diagnosis is based on otoscopic visualization of vesicles on the tympanic membrane.

Because differentiation among a viral, bacterial, and mycoplasmal cause is difficult, antibiotics effective against organisms causing otitis media are prescribed (see Treatment of Otitis Media Treatment Acute otitis media is a bacterial or viral infection of the middle ear, usually accompanying an upper respiratory infection. Symptoms include otalgia, often with systemic symptoms (eg, fever... read more Treatment ). Severe, continued pain may be relieved by rupturing the vesicles with a myringotomy knife or by oral analgesics (eg, oxycodone with acetaminophen). Topical analgesics (eg, benzocaine, antipyrine) may also be beneficial.

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External Ear Obstructions
When a patient presents with itching and pain of the ear, as well as conductive hearing loss, obstruction of the ear canal is a possible diagnosis. A typical cause of these symptoms is cerumen impaction due to the patient pushing cerumen further into the ear while attempting to clean the ear canal with cotton swabs. The best method for removing this cerumen from the ear includes which of the following?
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