소아 삼출성 중이염에 있어사 스테로이드제의 효과

This report presents findings of a randomized, prospective study involving the use of a short course of oral steroids for the treatment of otitis media with effusion(OME).

One hundred forty-one children(233 ears) with OME of at least 2 months’ duration were investigated. Group A received oral steroids with antibiotics for 15days. Oral steroids were tapered for 15days. Group B received antibiotics for 15days. Group C were controlled group.

OME resolution was determined by symptom improvement, combined methods of pneumatic otoscopy, pure tone average and tympanometry on six and eight weeks after completing treatment.

The rate of recocery was significantly high in group A, which showed complete recocery in 68.8% and partial recovery in 3.1%, that of group B showed complete recovery in 42.3% and partial recocery in 5.2%, that of group C showed complete recovery in 12·5% , partial recovery in 2.5%.

We believe that this treatment mostly benefits OME of children. The findings of our study imply that a combined oral steroids and antibiotics deserves its place as a routine conservative trial before surgery.