The Efficacy of Nasal Steroids in Treatment of Otitis Media With Effusion: Acomparative Study
NCT03491098 · Status: UNKNOWN · Phase: EARLY_PHASE1 · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2018-04-18
Summary
Otitis media with effusion (OME) is defined as effusion in the middle ear without signs and symptoms of an acute infection. It is a leading cause of hearing impairment in children, and its early and proper management can avoid hearing and speech impairment, which can cause developmental delay in children.Although many conditions such as enlarged adenoids, cleft palate, Down syndrome, Kartagener syndrome, and nasopharyngeal neoplasm are related to the role of eustachian tube (ET) dysfunction in the pathogenesis of OME, allergic, immunologic, and infectious factors have also been claimed. Treatment of OME is still a controversial issue, as conventional treatment approaches fail to provide satisfactory and permanent relief of otologic symptoms.There is lack of proven effectiveness of the commonly given treatments, such as antibiotics, decongestants, and antihistamines, which are potentially harmful and have disadvantages. Few in those studies,investigated topical intranasal steroid for OME treatment,and in those studies, the duration of intranasal steroid application was short and there was no hearing evaluation.
Conditions
- Otitis Media With Effusion
Interventions
- DRUG
-
Mometasone Furoate spray
Mometasone Furoate spray one puff in each nostril daily for 8 weeks hypertonic sea water solution spray one puff in each nostril daily for (8) weeks.
- DRUG
-
prednisolone sodium phosphate 15mg
three times per day for 1 week then gradual withdrawal over 2 weeks
- DRUG
-
hypertonic sea water solution spray
one puff in each nostril daily for 8 weeks
Sponsors & Collaborators
-
Muteea Mubark Salmen Bakuwiri
lead OTHER
Principal Investigators
-
Ezzat M Saleh, Professor · Assiut University
-
Mohamed M Abd ElNaeem, doctor · Assiut University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 4 Years
- Max Age
- 12 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-05-15
- Primary Completion
- 2019-04-30
- Completion
- 2020-03-01
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