Artikel
A comparative study of the efficacy of topical nasal steroids versus systemic steroids in the treatment of otitis media with effusion in children
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Veröffentlicht: | 30. März 2016 |
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Gliederung
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Introduction: Otitis media with effusion(OME),is characterized by an accumulation of fluid in the middle ear, in the absence of acute inflammation.
By the age of 4 years, 80% of children will have had an episode of OME.
OME is one of the most common indications for surgical intervention in the 1-18 year age group. The current treatment options include: elimination of the risk factors, follow-up without treatment, use of antibiotic and/or decongestant medication, maneuvers to open the Eustachian tubes (e.g. Valsalva maneuver), and if medical treatment fails, tympanostomy tube placement with or without adenoidectomy.
Recently, a potential role of corticosteroids in the treatment of OME has emerged. The short-term use of systemic steroids provides a temporary improvement, but longterm use is not appropriate in children due to side effects. In contrast, topical nasal steroids without systemic side effects might be used.
Methods: One hundred (100) patients were included in the study, they were divided into two equal groups, group A received intranasal mometasone furoate spray once daily for 6 weeks, and group B received oral steroids in tapering doses for 6 weeks, plus systemic antibiotics, and nasal decongestants for both groups, tympanogram was done every 2 weeks for all patients.
Results: Highly significant improvement (P < 0.01) of OME regarding symtoms, signs, and tympanometric results, occurred in each group separately at the end of the study, with no significant difference (P > 0.05) in improvement between the two groups.
Conclusion: Both topical intranasal and oral steroids are effective medical therapy in the treatment of OME in children with no significant difference between the two methods.
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