Jstrang - would my ent be able to do the office myringotomy on the spot when i see him ?
They should be able to do in their office.
I prefer inhaled nasal corticosteroids - less side effects than oral steroids like medrol or prednisone.
Unfortunately in my experience if it is going to resolve quickly it will - regardless of what we use. If it is going to resolve slowly it does - again regardless of what we use. Which means you are likely going to be symptomatic for several weeks - which in dr speak is like 3-4 months.
I would stick to ICS, equalize through the day and time.
good luck