Topical intranasal corticosteroids compared to watchful waiting method for the treatment of otitis media with effusion in children.

Saeed, Abdulrahman Ashraf; Baher, maged mahmoud; Mohammed, Wesam Roshdy; Abou-Zeid, Mohamed Aly

doi:10.21608/arcmed.2025.358856.1091

	Topical intranasal corticosteroids compared to watchful waiting method for the treatment of otitis media with effusion in children.
ARCADEs of MEDICINE
Articles in Press, Accepted Manuscript, Available Online from 18 May 2025
Document Type: Original Research
DOI: 10.21608/arcmed.2025.358856.1091
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Authors
Abdulrahman Ashraf Saeed ¹; maged mahmoud Baher²; Wesam Roshdy Mohammed³; Mohamed Aly Abou-Zeid²
¹Otorhinolaryngology department, Armed Forces College of Medicine,Cairo, Egypt
²Otorhinolaryngology department, Armed Forces College of Medicine, Egypt
³Otorhinolaryngology department, Milatary Medical Academy, Egypt
Abstract
Background; Otitis media with effusion (OME) is a leading cause of deafness globally, characterized by middle ear effusion lasting three months or more without infection signs. Aim and objectives; To evaluate the effectiveness of topical intranasal corticosteroids in managing OME in children compared to the watchful waiting method. Patients and methods; A randomized controlled clinical trial on children with OME from the otorhinolaryngology outpatient clinic of Affiliated Military Hospital in Egypt, 2023. Result; The otoscopic examination at the third week showed significant differences between groups A and B concerning TM retraction and cone of light (p < 0.05). Tympanometry type B after eight weeks and parental smoking in group A showed no statistical significance (p > 0.05), with 50% of type B cases having a history of parental smoking compared to 40% with other types. In group B, non-type B cases had a 50% history of parental smoking compared to 25% of type B cases (p > 0.05). Conclusion; In conclusion, the primary data indicate that topical intranasal corticosteroids are probably an effective management for kids with bilateral otitis media with effusion at 8 and 12 weeks, in contrast to watchful waiting. However, these findings require confirmation by larger, more-powered study with larger sample size.
Keywords
Otitis media with effusion (OME); Topical intranasal corticosteroids; watchful waiting method


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