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

Document Type : Original Research

Authors

1 Otorhinolaryngology department, Armed Forces College of Medicine,Cairo, Egypt

2 Otorhinolaryngology department, Armed Forces College of Medicine, Egypt

3 Otorhinolaryngology department, Milatary Medical Academy, Egypt

Abstract

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.

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ARCADEs of MEDICINE
Volume 3, Issue 2
October 2025
Pages 105-114

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