Abstract
Abstract To evaluate the effectiveness of using topical nasal steroids versus oral steroids in the treatment of otitis media with effusion (OME) in children. 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. Highly significant improvement (P 0.05) in improvement between the two groups. 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.
Highlights
Otitis media with effusion (OME) or glue ear is the collection of fluid behind the tympanic membrane without inflammatory signs present for 6 weeks [1].By the age of 4 years, ~80% of children will have had an episode of OME, most of which resolve and only 10% of episodes last for a year or more [2].The natural history of otitis media is very favorable
The patients were divided into two equal groups for a comparative study between the use of oral steroids and topical nasal steroids in the treatment of OME
A significant improvement in obstructive symptoms was seen in the treatment group. These results indicated that nasal mometasone furoate monohydrate treatment can significantly reduce adenoid hypertrophy and obstructive symptoms and is a useful alternative to surgery, at least in the short term, for OME [6]
Summary
Otitis media with effusion (OME) or glue ear is the collection of fluid behind the tympanic membrane without inflammatory signs present for 6 weeks [1].By the age of 4 years, ~80% of children will have had an episode of OME, most of which resolve and only 10% of episodes last for a year or more [2].The natural history of otitis media is very favorable. Otitis media with effusion (OME) or glue ear is the collection of fluid behind the tympanic membrane without inflammatory signs present for 6 weeks [1]. Combined estimates of spontaneous resolution provide a benchmark, against which new or established interventions can be evaluated. The need for surgery in children with recurrent acute otitis media (AOM) or chronic OME should be balanced against the likelihood of timely spontaneous resolution and the potential risk for learning, language, or other adverse sequelae from persistent middle ear effusion [3]. Adenoidal hypertrophy (AH) and OME are the most frequent indications for surgery in children.The current treatment options for OME include the following: elimination of the risk factors, follow-up without treatment, use of antibiotic and/or decongestant medication, maneuvers to open the Eustachian tubes, such as with nasal balloons, prophylactic antibiotic use, and, if medical treatment fails, tympanostomy tube placement with or without adenoidectomy [4,5]
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