The Efficacy of Nasal Steroids in Treatment of Otitis Media with Effusion: A Comparative Study
Autor(a) principal: | |
---|---|
Data de Publicação: | 2015 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | International Archives of Otorhinolaryngology |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642015000400298 |
Resumo: | Introduction Otitis media with effusion (OME) continues to be an important pediatric clinical problem, and more studies are needed to decide the proper treatment for it. Objective To assess the efficacy of nasal steroids in the management of OME by comparing its results with that of oral steroid and that of nasal saline spray as placebo. Methods This study was carried on 60 patients with OME who were divided into three groups: in group 1, 20 patients received mometasone furoate spray, one puff in each nostril daily, for 3 months; in group 2, 20 patients received oral prednisolone, 5 mg three times per day for the first 3 weeks; in group 3, 20 patients received nasal saline spray, one puff in each nostril daily for 3 months. Results A highly significant difference between systemic or topical (nasal spray) steroid therapy and saline nasal spray was detected (p < 0.001), and the difference between systemic and topical steroid was nonsignificant (p > 0.05). Conclusion Nasal steroid spray can be used as an effective treatment for OME, giving a significant result similar to systemic steroid. Further studies are needed to investigate its use for longer duration and in recurrent cases. |
id |
FORL-1_2f138141b3cd4d41b51b50310562a49d |
---|---|
oai_identifier_str |
oai:scielo:S1809-48642015000400298 |
network_acronym_str |
FORL-1 |
network_name_str |
International Archives of Otorhinolaryngology |
repository_id_str |
|
spelling |
The Efficacy of Nasal Steroids in Treatment of Otitis Media with Effusion: A Comparative Studyotitis media with effusionnasal steroidstympanometry Introduction Otitis media with effusion (OME) continues to be an important pediatric clinical problem, and more studies are needed to decide the proper treatment for it. Objective To assess the efficacy of nasal steroids in the management of OME by comparing its results with that of oral steroid and that of nasal saline spray as placebo. Methods This study was carried on 60 patients with OME who were divided into three groups: in group 1, 20 patients received mometasone furoate spray, one puff in each nostril daily, for 3 months; in group 2, 20 patients received oral prednisolone, 5 mg three times per day for the first 3 weeks; in group 3, 20 patients received nasal saline spray, one puff in each nostril daily for 3 months. Results A highly significant difference between systemic or topical (nasal spray) steroid therapy and saline nasal spray was detected (p < 0.001), and the difference between systemic and topical steroid was nonsignificant (p > 0.05). Conclusion Nasal steroid spray can be used as an effective treatment for OME, giving a significant result similar to systemic steroid. Further studies are needed to investigate its use for longer duration and in recurrent cases.Fundação Otorrinolaringologia2015-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642015000400298International Archives of Otorhinolaryngology v.19 n.4 2015reponame:International Archives of Otorhinolaryngologyinstname:Fundação Otorrinolaringologia (FORL)instacron:FORL10.1055/s-0035-1548535info:eu-repo/semantics/openAccessEl-Anwar,Mohammad WaheedNofal,Ahmad Abdel-FattahKhazbak,Alaa OmarSayed,Ahmad Ebrahim ElHassan,Mohammad Ramadaneng2015-12-11T00:00:00Zoai:scielo:S1809-48642015000400298Revistahttps://www.scielo.br/j/iao/https://old.scielo.br/oai/scielo-oai.php||iaorl@iaorl.org||archives@internationalarchivesent.org||arquivos@forl.org.br1809-48641809-4864opendoar:2015-12-11T00:00International Archives of Otorhinolaryngology - Fundação Otorrinolaringologia (FORL)false |
dc.title.none.fl_str_mv |
The Efficacy of Nasal Steroids in Treatment of Otitis Media with Effusion: A Comparative Study |
title |
The Efficacy of Nasal Steroids in Treatment of Otitis Media with Effusion: A Comparative Study |
spellingShingle |
The Efficacy of Nasal Steroids in Treatment of Otitis Media with Effusion: A Comparative Study El-Anwar,Mohammad Waheed otitis media with effusion nasal steroids tympanometry |
title_short |
The Efficacy of Nasal Steroids in Treatment of Otitis Media with Effusion: A Comparative Study |
title_full |
The Efficacy of Nasal Steroids in Treatment of Otitis Media with Effusion: A Comparative Study |
title_fullStr |
The Efficacy of Nasal Steroids in Treatment of Otitis Media with Effusion: A Comparative Study |
title_full_unstemmed |
The Efficacy of Nasal Steroids in Treatment of Otitis Media with Effusion: A Comparative Study |
title_sort |
The Efficacy of Nasal Steroids in Treatment of Otitis Media with Effusion: A Comparative Study |
author |
El-Anwar,Mohammad Waheed |
author_facet |
El-Anwar,Mohammad Waheed Nofal,Ahmad Abdel-Fattah Khazbak,Alaa Omar Sayed,Ahmad Ebrahim El Hassan,Mohammad Ramadan |
author_role |
author |
author2 |
Nofal,Ahmad Abdel-Fattah Khazbak,Alaa Omar Sayed,Ahmad Ebrahim El Hassan,Mohammad Ramadan |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
El-Anwar,Mohammad Waheed Nofal,Ahmad Abdel-Fattah Khazbak,Alaa Omar Sayed,Ahmad Ebrahim El Hassan,Mohammad Ramadan |
dc.subject.por.fl_str_mv |
otitis media with effusion nasal steroids tympanometry |
topic |
otitis media with effusion nasal steroids tympanometry |
description |
Introduction Otitis media with effusion (OME) continues to be an important pediatric clinical problem, and more studies are needed to decide the proper treatment for it. Objective To assess the efficacy of nasal steroids in the management of OME by comparing its results with that of oral steroid and that of nasal saline spray as placebo. Methods This study was carried on 60 patients with OME who were divided into three groups: in group 1, 20 patients received mometasone furoate spray, one puff in each nostril daily, for 3 months; in group 2, 20 patients received oral prednisolone, 5 mg three times per day for the first 3 weeks; in group 3, 20 patients received nasal saline spray, one puff in each nostril daily for 3 months. Results A highly significant difference between systemic or topical (nasal spray) steroid therapy and saline nasal spray was detected (p < 0.001), and the difference between systemic and topical steroid was nonsignificant (p > 0.05). Conclusion Nasal steroid spray can be used as an effective treatment for OME, giving a significant result similar to systemic steroid. Further studies are needed to investigate its use for longer duration and in recurrent cases. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642015000400298 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642015000400298 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1055/s-0035-1548535 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Fundação Otorrinolaringologia |
publisher.none.fl_str_mv |
Fundação Otorrinolaringologia |
dc.source.none.fl_str_mv |
International Archives of Otorhinolaryngology v.19 n.4 2015 reponame:International Archives of Otorhinolaryngology instname:Fundação Otorrinolaringologia (FORL) instacron:FORL |
instname_str |
Fundação Otorrinolaringologia (FORL) |
instacron_str |
FORL |
institution |
FORL |
reponame_str |
International Archives of Otorhinolaryngology |
collection |
International Archives of Otorhinolaryngology |
repository.name.fl_str_mv |
International Archives of Otorhinolaryngology - Fundação Otorrinolaringologia (FORL) |
repository.mail.fl_str_mv |
||iaorl@iaorl.org||archives@internationalarchivesent.org||arquivos@forl.org.br |
_version_ |
1754203975248248832 |