Bullous Myringitis Viral infection Confined to tympanic membrane Primarily involves younger children

Symptoms Bullous Myringitis Sudden onset of severe pain No fever No hearing impairment Bloody otorrhea (significant) if rupture

Signs Bullous Myringitis Inflammation limited to TM & nearby canal Multiple reddened, Hemorrhagic blebs

Treatment Bullous Myringitis Self-limiting Analgesics Topical antibiotics to prevent secondary infection Incision of blebs is unnecessary

Pseudocyst of the auricle First reported by Hartmann in 1846 Fluctuant, tense, noninflammatory swelling of the upper ear Believed to be associated with trauma

Treatment Pseudocyst of the auricle Medical Care Surgical Care No medical treatment is uniformly effective. Surgical Care surgical incision and pressure dressing aspiration followed by a pressure dressing intralesional steroids Surgical curettage and fibrin sealant

Injury of tympanic membrane Earache Bleeding Fullness Hearing loss: conductive HL or mixed HL Tinnitus Shape of perforation is split

Treatment Injury of tympanic membrane Antibiotic to prevent infection Aseptic external auditory canal with alcohol Prevent super respiratory infection Prohibit nasal blow Prohibit ear drops It takes 3-4 w to heal the ear drum If 3 months later, perforation still exists, myringoplasty is indicated

Thanks！