[Granular otitis externa].

These authors examined 18 patients with granular external otitis. As other clinicians, the authors believe that the disease should be viewed as a separate nosological pathology. In the case of granular myringitis it is important to differentiate between this disease and chronic suppurative otitis media complicated with polyps or granulations. The granular tissue on the walls of the external acoustic meatus can develop due to inflammation of the skin alone without periosteum or bone involved. It may also occur as a result of suppurative osteoperiostitis of the external acoustic meatus. This pathology also requires differential diagnosis because different therapeutic approaches are to be applied.