Chronic Myringitis with Otitis Media with Effusion in the Absence of Acute Ear Symptoms

This protocol addresses chronic myringitis presenting alongside middle ear effusion with no acute ear symptoms. OME is defined as middle ear effusion in the absence of acute symptoms — a specific presentation that warrants a distinct clinical approach from acute ear disease.

The evidence-based protocol for this scenario defines which pharmacological interventions are appropriate and which are not indicated in this setting. The complete decision pathway and clinical guidance are available in the full protocol.