A Hussein1, H Fathy1, S M Amin2, N Elsisy3. 1. Department of Otorhinolaryngology,Faculty of Medicine,Cairo University,Egypt. 2. Department of Otorhinolaryngology,Faculty of Medicine,Fayoum University,Al Fayoum,Egypt. 3. Department of Otorhinolaryngology,Student Hospital,Cairo University,Egypt.
Abstract
OBJECTIVE: To evaluate the effects of oral steroids alone or followed by intranasal steroids versus watchful waiting on the resolution of otitis media with effusion in children aged 2-11 years. METHODS: A total of 290 children with bilateral otitis media with effusion were assigned to 3 groups: group A was treated with oral steroids followed by intranasal steroids, group B was treated with oral steroids alone and group C was managed with watchful waiting. Patients were evaluated with audiometry and tympanometry. RESULTS: The complete resolution rates of otitis media with effusion were higher in groups A and B than in group C at six weeks. There were no significant differences in otitis media with effusion resolution rates between the groups at three, six and nine months. CONCLUSION: Oral steroids lead only to a quick resolution of otitis media with effusion, with no long-term benefits. There was no benefit of using intranasal steroids in the management of otitis media with effusion.
RCT Entities:
OBJECTIVE: To evaluate the effects of oral steroids alone or followed by intranasal steroids versus watchful waiting on the resolution of otitis media with effusion in children aged 2-11 years. METHODS: A total of 290 children with bilateral otitis media with effusion were assigned to 3 groups: group A was treated with oral steroids followed by intranasal steroids, group B was treated with oral steroids alone and group C was managed with watchful waiting. Patients were evaluated with audiometry and tympanometry. RESULTS: The complete resolution rates of otitis media with effusion were higher in groups A and B than in group C at six weeks. There were no significant differences in otitis media with effusion resolution rates between the groups at three, six and nine months. CONCLUSION: Oral steroids lead only to a quick resolution of otitis media with effusion, with no long-term benefits. There was no benefit of using intranasal steroids in the management of otitis media with effusion.
Entities:
Keywords:
Otitis Media With Effusion; Steroids; Audiometry; Tympanometry
Authors: Nick A Francis; Rebecca Cannings-John; Cherry-Ann Waldron; Emma Thomas-Jones; Tom Winfield; Victoria Shepherd; Debbie Harris; Kerenza Hood; Deborah Fitzsimmons; Amanda Roberts; Colin Powell; Micaela Gal; Christopher C Butler Journal: Lancet Date: 2018-08-16 Impact factor: 79.321
Authors: Respati W Ranakusuma; Yupitri Pitoyo; Eka D Safitri; Sarah Thorning; Elaine M Beller; Sudigdo Sastroasmoro; Chris B Del Mar Journal: Cochrane Database Syst Rev Date: 2018-03-15