Overview
What is the role of audiometric testing in the diagnosis of myringitis?
What is the role of tympanic testing in the diagnosis of myringitis?
What is the pathophysiology of myringitis?
What causes primary myringitis?
What causes acute myringitis with acute otitis media?
What causes acute myringitis with acute otitis externa?
What causes perforation of tympanic membrane in myringitis?
What causes chronic myringitis with chronic otitis media?
What causes mucoepidermal conflict relative to myringitis?
What causes chronic myringitis with chronic otitis externa?
What is the prevalence of myringitis in the United States?
What is the morbidity associated with myringitis?
What are the racial predilections of myringitis?
What are the sexual predilections of myringitis?
Which age groups have the highest prevalence of myringitis?
Presentation
Which clinical history findings are characteristic of myringitis?
What is the focus of the physical exam to evaluate myringitis?
Which findings on otoscopic exam are characteristic of myringitis?
What are the bacterial causes of myringitis?
Other than bacteria, what causes TM inflammation in myringitis?
DDX
Which conditions should be considered in the differential diagnosis of myringitis?
What are the differential diagnoses for Myringitis (Middle Ear, Tympanic Membrane, Inflammation)?
Workup
What is the role of lab testing in the diagnosis of myringitis?
What is the role of imaging studies in the workup of myringitis?
What is the role of pure tone and speech audiometry in the workup of myringitis?
What is the role of tympanometry in the workup of myringitis?
Which invasive procedures may be performed in the diagnosis of myringitis?
What is the role of tympanostomy in the treatment of myringitis?
Treatment
What is included in the medical treatment of myringitis?
How is tympanic membrane (TM) perforation treated in myringitis?
What is the efficacy of myringitis treatments?
What is the role of myringoplasty in the treatment of myringitis?
Which activity modifications are used in the treatment of myringitis?
Medications
Which medications are used in the treatment of myringitis?
Follow-up
What is included in postoperative care following myringoplasty to treat myringitis?
What are the possible complications of myringitis?
What is the prognosis of myringitis?
What is included in patient education about myringitis?
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Tympanic membrane (TM) as continuation of the upper wall of external auditory canal (EAC) with angle of incline up to 45 degrees on the border between middle ear and the EAC.
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Normal tympanic membrane. Pars tensa (PT), pars flaccida (PF), light reflex (LR), fibrous ring (FR), umbo (Um), handle of malleus (HM), lateral process of malleus (Lpm), anterior plica (AP), posterior plica (PP).
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Mirror display of a tympanic membrane surface on the polymeric masc from external acoustical canal of healthy man. Masc of tympanic membrane surface (MtmS).