Efficacy of Intranasal Steroid Spray in the Treatment of Post Adenoidectomy Recurrence
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 1
Abstract
Objectives: To evaluate the efficacy of intranasal steroid in the treatment of recurrent subjective and objective upper airway obstruction secondary to adenoid hypertrophy following adenoidectomy Materials and methods: 60 children aged 5-12 years, diagnosed with nasopharyngeal obstruction secondary to recurrent adenoid hypertrophy(symptoms>3months)post-adenoidectomy, confirmed radiographically, were included in a prospective comparative study. Nasal obstructive symptoms and radiographic adenoid size were scored. All patients received intranasal mometasone furoate spray for 12 weeks. Follow up was done at the end of 2,12 weeks,6,12months.Symptoms were recorded, scored and totalled on all visits. Lateral nasopharynx X-ray was repeated at 12 weeks and 1 year. Results: 33 males (55%) and 27 females(45%) met the inclusion criteria,with a male: female ratio of 1:1.Mean age of the study patients was 7.85±2.36 years. Mean total symptom score prior to initiation with intranasal steroid therapy and at 2 weeks,12 weeks,6 months and 1 year following initiation of steroid therapy was 7.11,6.73,0.91,0.92 and 0.93 respectively, with a decrease in individual mean snoring, nasal obstruction and rhinorrhoea scores.64.5% of patients showed a mild, statistically insignificant decrease in symptoms at 2weeks.88% showed a statistically significant (p<0.001) decrease in symptoms and radiographic adenoid size at 12weeks,which was sustained over the remainder of the study period. Correlation was seen between symptoms and radiographic adenoid size. No complications were seen following intranasal steroid therapy in any of the patients. Conclusion: Intranasal steroid spray is safe and effective in the treatment of recurrent nasal obstruction secondary to adenoid hypertrophy following adenoidectomy. Maintenance therapy at low doses can be safely continued over long periods.
Authors and Affiliations
Dr. B. V. Chandre Gowda
Keywords
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