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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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Abstract

Objective

To evaluate the effectiveness of using topical nasal steroids versus 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 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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Correspondence to Ahmad Nassar MD.

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This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

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Anwar, M., Abdel-Aziz, M., Nassar, A. et al. A comparative study of the efficacy of topical nasal steroids versus systemic steroids in the treatment of otitis media with effusion in children. Egypt J Otolaryngol 31, 208–212 (2015). https://doi.org/10.4103/1012-5574.168210

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Keywords

  • otitis media with effusion
  • systemic steroids
  • topical nasal steroids