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Published on: January 13, 2017
[Aerosol therapy in treatment of childhood otitis media with effusion]
Carlos Saga1, Xabier Altuna, Jesús Algaba
1Servicio de Otorrinolaringología, Policlínica Guipúzcoa, San Sebastián, España. carlossaga@wanadoo.es
Insights
Aerosol therapy shows efficacy comparable to traditional treatments for childhood otitis media with effusion. This treatment offers a viable alternative, with 76% of patients achieving significant audiometric recovery.
Area of Science:
- Pediatric Otolaryngology
- Respiratory Medicine
Context:
- Otitis media with effusion (OME) is a common childhood condition affecting hearing.
- Current treatments for OME include medical and surgical interventions.
- Aerosol therapy presents a potential non-invasive treatment modality for OME.
Purpose:
- To evaluate the efficacy of aerosol therapy in treating childhood otitis media with effusion.
- To compare audiometric recovery in patients treated with aerosols versus traditional methods.
- To analyze outcomes in patients with prior surgical treatment and those who discontinued aerosol therapy.
Summary:
- A retrospective analysis of 37 children with OME treated with aerosol therapy was conducted.
- Audiometric outcomes were assessed at multiple time points up to 6-12 months post-treatment.
- 76% of patients achieved audiometric results comparable to surgical outcomes; 7 patients discontinued therapy due to lack of response or adherence.
Impact:
- Aerosol therapy demonstrates comparable efficacy to established treatments for OME.
- Outcomes in patients with prior surgery were similar to those treated solely with aerosols.
- No specific indicators for poor response were identified in non-responding patients, suggesting potential for broader application.
Introduction And Objectives:
We address the efficacy of aerosol therapy in the treatment of otitis media with effusion during childhood. We study audiometric recovery in comparison with other classic treatments.
Material And Methods:
This is a retrospective analysis of 37 patients suffering from otitis media with effusion treated with aerosols. We analyze the pure tone audiometry gap results for the whole sample of patients. We also evaluate the characteristics of the group of patients that had previously required surgery and the group withdrawn from aerosol therapy for not responding.
Results:
Thirty seven patients with a mean age of 6.8 years met the inclusion criteria. Audiometric tests were performed at the beginning of the treatment and after one month, 3 months and finally 6-12 months. In audiometric terms, 76% of the patients achieved results similar to those obtained after surgery. Seven patients were withdrawn from treatment due to poor or no response to aerosol therapy or due to a lack of collaboration. Two patients developed complications not related to aerosol therapy (tympanic perforation and cholesteatoma pearl).
Conclusion:
The efficacy of aerosol therapy is comparable to that obtained with classic treatments. We have found no differences in the outcomes obtained in the group previously treated with surgery. We found no indicators of poor response in those patients where the treatment failed.
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