Myringitis bullosa is an unusual condition of the tympanic membrane which can be easily confused with Acute Otitis media and another common entity found in hot, humid climates of our Indian subcontinent namely Granular Myringitis. Granular Myringitis is the product of continuous scratching of the drum (usually done with a feather!) with the resultant granulation and may end up in scarring the drum. On the other hand pathogenesis of Myringitis bullosa is a very poorly understood and presentation is rare enough not even to have been subjected to scrutiny of any major Randomized clinical trial.