A Hussein

Berkman

Buchman

H Fathy

Humaid

Inglis

N Elsisy

Rosenfeld

S M Amin

Stool

Williamson

Zakzouk

AbstractObjective:To evaluate the effects of oral steroids alone or followed by intranasal steroids versus watchful waiting on the resolution of otitis media with effusion in children aged 2–11 years.Methods:A total of 290 children with bilateral otitis media with effusion were assigned to 3 groups: group A was treated with oral steroids followed by intranasal steroids, group B was treated with oral steroids alone and group C was managed with watchful waiting. Patients were evaluated with audiometry and tympanometry.Results:The complete resolution rates of otitis media with effusion were higher in groups A and B than in group C at six weeks. There were no significant differences in otitis media with effusion resolution rates between the groups at three, six and nine months.Conclusion:Oral steroids lead only to a quick resolution of otitis media with effusion, with no long-term benefits. There was no benefit of using intranasal steroids in the management of otitis media with effusion.</jats:sec

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The Journal of Laryngology & Otology

Oral steroids alone or followed by intranasal steroids versus watchful waiting in the management of otitis media with effusion

Oral steroids alone or followed by intranasal steroids versus watchful waiting in the management of otitis media with effusion

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