From the Research
Bullous myringitis is a rare and peculiar manifestation of acute otitis media that requires prompt medical attention, including pain management and potentially systemic corticotherapy, as outlined in the most recent study 1. The condition is characterized by painful, fluid-filled blisters or bullae on the tympanic membrane, and its management may be a medical emergency. Key points to consider in the treatment of bullous myringitis include:
- Pain management with oral analgesics such as acetaminophen or ibuprofen
- Topical analgesic ear drops containing benzocaine or similar agents for additional relief
- Antibiotic therapy if bacterial infection is suspected, usually with amoxicillin or amoxicillin-clavulanate
- Avoiding getting water in the affected ear during healing and following up with a healthcare provider if symptoms worsen or don't improve within 48-72 hours of treatment. The responsible germs for bullous myringitis are the same as those found in acute otitis media, including S. pneumoniæ, H. influenzæ, and M. catarrhalis, as noted in the study 1. It's essential to prioritize the most recent and highest quality study, which in this case is 1, to guide treatment decisions and ensure the best possible outcomes for patients with bullous myringitis.