title: Combined tympanic epithelial layer avulsion and overlay myringoplasty for diffuse granular myringitis.
abstract: OBJECTIVE
  To explore the feasibility of a novel surgical management technique for severe, chronic granular myringitis with diffuse granulation tissue over the tympanic membrane, with or without involvement of the external auditory canal.
  
  
  METHODS
  This was a retrospective design.
  
  
  METHODS
  A surgical technique combining tympanic epithelial avulsion with overlay myringoplasty was used to treat 21 severe cases.
  
  
  RESULTS
  All 21 cases were cured after one operation. Three months after surgery, patients' tympanic membranes had returned to normal, and their air-bone gaps were less than 10 dB.
  
  
  CONCLUSIONS
  This new surgical procedure represents improved treatment for severe, chronic granular myringitis.
authors.affiliation: Department of Otolaryngology Head and Neck Surgery, The Second Affiliated Hospital, Sun Yat-Sen University, Guangzhou, PR China.
authors.forename: Z
authors.initials: Z
authors.lastname: Zhang
authors.forename: X
authors.initials: X
authors.lastname: Liu
authors.forename: S
authors.initials: S
authors.lastname: Chen
authors.forename: Y
authors.initials: Y
authors.lastname: Zheng
mesh_terms: D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D004427:Ear Diseases / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006097:Granulation Tissue / Q000473:pathology; D006099:Granuloma / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009225:Myringoplasty / Q000379:methods; D013506:Otologic Surgical Procedures / Q000379:methods*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014432:Tympanic Membrane / Q000601:surgery*; D055815:Young Adult