How is myringitis diagnosed?

Updated: Oct 19, 2018
  • Author: John Schweinfurth, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Cultures may be obtained from middle ear fluid. Imaging studies that can be performed include the following:

  • Otomicroscopy with microscope or otoendoscopy with imaging display

  • Pneumatic otoscopy - Provides information on the appearance and mobility of the TM and is the preferred method for diagnosis

  • High-resolution computed tomography (CT) scanning of the temporal bones

  • Magnetic resonance imaging (MRI) - Useful for the evaluation of intracranial complications from otitis, but otherwise this modality tends to overestimate middle ear inflammatory processes

  • Acoustic otoscopy - A method to examine the TM using concurrent otoscopy and tympanometry; it is especially useful for children


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