The Role of Topical Nasal Steroid in Treatment of Otitis Media with Effusion in Children: Systematic Review
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 70, Issue 4
Abstract
<strong>Background: </strong>otitis media with effusion is common in children and the treatment is still controversial issue. <strong>Objective</strong>: this study aimed to evaluate the role of topical nasal steroid in treatment of otitis media with effusion in children. <strong>Patients</strong><strong> and Method</strong>: this was a systematic review of the literature to collect data through searching the Medoline data base (www.pubmed .com) until March 2017 concerning the effectiveness of topical nasal steroids in treatment of otitis media with effusion in children using the different keywords in different combination. <strong>Results</strong><strong>:</strong> meta analysis by relative risk for persistence of OME of 0.551 with 95% CI of 0.314 to 0.966 , meta analysis by risk difference for persistence of OME of -0.229 with a 95% CI of -0.569 to -0.030 and meta analysis by odds ratio for persistence of OME of 0.214 with a 95% CI of 0.049 to 0.936, which was statistically significant favoring topical steroid over control . <strong>Conclusion :</strong> topical nasal steroid is an effective treatment for otitis media with effusion without the complications of oral steroid , nasal steroid spray can be used for longer period, with much greater safety. It can also be helpful in controlling nasal allergy and the adenoid size, which are contributing factors in developing and recurring otitis media with effusion. <strong> </strong>
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP583528
- DOI 10.12816/0043807
- Views 96
- Downloads 0
The Correlation between Vitamin D and Polycystic Ovary Syndrome
<strong>Background: </strong>A deficiency of Vitamin D not only causes poor bone mineralization but also has been implicated in many other chronic diseases. Recent studies have suggested a relevance of vitamin D to repr...
Prevention of Surgical Site Infections: A Systematic Review
The preoperative interventions used for prevention of SSIs have different effectiveness in the reduction of SSIs and subsequent surgical complications. This review aiming at evaluating the effectiveness of various method...
Prevalence of Different Eye Diseases Excluding Refractive Errors Presented at the Outpatient Clinic in Beheira Eye Hospital
<strong>Purpose of this study </strong>was to determine the frequency and spectrum of eye disorders presenting to the eye clinic of Damnhour, Behira Eye Hospital. <strong>Introduction: </strong>Epidemiological studies pr...
The effect of intraarticular glucocorticoid injection on the serum level of resistin in Osteoarthritis of the knees. Correlation of the level of resisitin to ultrasonographic findings
<strong>Background: </strong>Osteoarthritis (OA) is one of the ten disabling diseases affecting 9.6% of men and 18 % of women aged over 60 worldwide. OA characterized by articular cartilage loss, subchondral bone remodel...
Postpartum Depression among Saudi Women at National Guard Hospital and Alyamama Hospital in Riyadh in 2014-2015
<strong>Background: </strong>Postpartum Depression (PPD) is defined briefly as a “complication of birth where its reasons are differing from a carrier mother to mother”. Symptoms of PPD resemble those of any other depres...