gms | German Medical Science

87. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

04.05. - 07.05.2016, Düsseldorf

A comparative study of the efficacy of topical nasal steroids versus systemic steroids in the treatment of otitis media with effusion in children

Meeting Abstract

  • corresponding author Tamer Abdel Wahhab - Hearing and Speech Institute, Cairo, Egypt
  • Mohamed Anwar - Faculty of Medicine, Cairo University, Cairo, Egypt
  • Mosaad Abdel Aziz - Faculty of Medicine, Cairo University, Cairo, Egypt
  • Ahmad Nassar - Faculty of Medicine, Cairo University, Cairo, Egypt

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 87. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Düsseldorf, 04.-07.05.2016. Düsseldorf: German Medical Science GMS Publishing House; 2016. Doc16hnod254

doi: 10.3205/16hnod254, urn:nbn:de:0183-16hnod2548

Veröffentlicht: 30. März 2016

© 2016 Abdel Wahhab et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

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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