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 | ||
| 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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