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ORIGINAL ARTICLE
Year : 2015  |  Volume : 31  |  Issue : 4  |  Page : 208-212

A comparative study of the efficacy of topical nasal steroids versus systemic steroids in the treatment of otitis media with effusion in children


1 Department of Otorhinolaryngology, Faculty of Medicine, Cairo University, Cairo, Egypt
2 Hearing and Speech Institute, Cairo, Egypt

Correspondence Address:
Ahmad Nassar
Department of Otorhinolaryngology, Faculty of Medicine, Cairo University, Cairo, 11933
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1012-5574.168210

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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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