Comparative Study between Intra Tympanic Injection of Steroids and Surgical Treatment in Management of Otitis Media with Effusion. | ||
| Fayoum University Medical Journal | ||
| Volume 16, Issue 1, November 2025, Pages 145-151 PDF (741.96 K) | ||
| Document Type: Full Length research Papers | ||
| DOI: 10.21608/fumj.2025.385432.1524 | ||
| Authors | ||
| Nafeessa El-Banna* 1; Sayed Mukheimar2; Fatma Elhussieny2 | ||
| 1Department of ENT, Faculty of Medicine for girls, Al-Azhar University | ||
| 2Otorhinolaryngology Department, Faculty of Medicine for Girls, Al-Azhar University | ||
| Abstract | ||
| Background: Various treatments have been employed for persistent otitis media with effusion (OME), including intra-tympanic steroid injections, pharmacological interventions, and surgical procedures. However, controversies are present regarding the optimum method of treatment. Aim of the work: to compare intra-tympanic steroid injections versus surgical treatment with ventilation tube insertion in treating OME. Methods: This interventional randomized controlled study included (50) patients with OME who were divided into two groups: group A consisted of 25 patients who were exposed tointra-tympanic steroid injections, and group B consisted of 25 patients who were exposed to surgical treatment with ventilation tube insertion. Results: Regarding the otological examination (otoscope), there was a statistically significant difference between injection and grommet cases. There was an insignificant difference between the studied cases regarding intra-operative complications. The success rate among injection cases was about 80%. The success rate among Grommet cases was about 88%. There was an insignificant difference between the studied cases regarding the healing of TM. Conclusion: Both approaches effectively improve hearing outcomes and resolve middle ear effusion. However, intra-tympanic steroid injections proved to be a minimally invasive, well-tolerated option, particularly suitable for patients unwilling or unable to undergo surgery. While more invasive, surgical intervention provided definitive resolution in cases with significant structural changes or prolonged effusion. | ||
| Keywords | ||
| Intra-tympanic steroid injections (ITDI); Otitis media with effusion (OME); Tympanic membrane (TM); Ventilation tube insertion (VT) | ||
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