The Efficacy of Oral Steroids in Etitis media With Effusion of Children

Ahn, Cheol Min; Lee, Won Sang; Jang, Young; Kang, Kyung Hwa; Chung, Duk Hee

doi:10.35420/jcohns.1992.3.1.69

J Clin Otolaryngol Head Neck Surg 1992; 3(1):69-75

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1992.3.1.69

원저

소아 삼출성 중이염에 있어사 스테로이드제의 효과

안철민¹, 이원상¹, 장영¹, 강경화¹, 정덕희¹

The Efficacy of Oral Steroids in Etitis media With Effusion of Children

Cheol Min Ahn¹, Won Sang Lee¹, Young Jang¹, Kyung Hwa Kang¹, Duk Hee Chung¹

Author Information & Copyright ▼

¹국립의료원 이비인후과

¹Department of Otolaryngology, National Medical Center

© Copyright 1992 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

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.

Keywords: Otitis media with effusion; Oral steroid