Background: otitis media with effusion is common in children and the treatment is still controversial issue. Objective: this study aimed to evaluate the role of topical nasal steroid in treatment of otitis media with effusion in children. Patients and Method: this was a systematic review of the literature to collect data through searching the Medoline data base (www.pubmed .com) until March 2017 concerning the effectiveness of topical nasal steroids in treatment of otitis media with effusion in children using the different keywords in different combination. Results: meta analysis by relative risk for persistence of OME of 0.551 with 95% CI of 0.314 to 0.966 , meta analysis by risk difference for persistence of OME of-0.229 with a 95% CI of-0.569 to-0.030 and meta analysis by odds ratio for persistence of OME of 0.214 with a 95% CI of 0.049 to 0.936, which was statistically significant favoring topical steroid over control. Conclusion : topical nasal steroid is an effective treatment for otitis media with effusion without the complications of oral steroid , nasal steroid spray can be used for longer period, with much greater safety. It can also be helpful in controlling nasal allergy and the adenoid size, which are contributing factors in developing and recurring otitis media with effusion.
Objective. The aim of our study was to try to determine the possible environmental risk factors for noninvasive fungal sinusitis in Egyptian patients. Methods. This is a prospective epidemiological case control study on the environmental risk factors of noninvasive fungal sinusitis. It included 60 patients and 100 age and sex matched controls. Results. There was a statistically significant relation between apartment floor, surface area, exposure to dust, exposure to cockroaches, poor air conditioning, and fungal sinusitis. Yet, no statistical significance was found between allergy related occupations, exposure to animals or plants, although their percentages were higher among cases, smoking, and urban or rural residence. Conclusion. We suggest that for patients with noninvasive fungal sinusitis a change in their living environment must be implied with better exposure to sunlight, larger well ventilated homes, proper cleaning of dust and cockroach extermination, and if possible the judicious use of air conditioners.
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