Effect of Topical Intranasal Steroid in Management of Otitis Media with Effusion
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- Category: Vol. 85, March 2017
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Effect of Topical Intranasal Steroid in Management of Otitis Media with Effusion, MEDHAT M. SHARSHAR
Abstract
Objective: To evaluate the effectiveness of using topical nasal steroids in comparison with oral steroids in the treatment of Otitis Media with Effusion (OME) in children.
Methods: One hundred (100) patients were included in the study, they were divided into two equal groups, Group A received intranasal mometasonefuroate monohydrate spray once daily for 6 weeks, and Group B received oral steroids in tapering doses over 2 weeks for 6 weeks, plus systemic antibiotics, nasal decongestants, and mucolytics 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 alone at the end of the study, with no significant difference (p>0.05) in improvement between the two groups, although oral steroids (Group B) gave better results.
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.