Is the effect of topical intranasal steroids on obstructive adenoids transient or long-lasting? Case series and systematic review of literature

Abstract

The short-term positive effect of some intranasal steroids on obstructive adenoids seems to persist in a significant number of patients after the cessation of treatment.

No impact on the incidence rate of adenoidectomy 1998‐2014 on a national level in Denmark by the use of nasal steroid and the introduction of pneumococcal vaccines

“…Four patients required adenoidectomy, three were lost to follow-up. 18 On 1 October 2007, the heptavalent conjugated pneumococcal vaccine was introduced in the Danish childhood vaccination programme. During 2010, the PCV7 was replaced by the 13-valent pneumococcal vaccine.…”

“…One year after nasal steroid therapy, 12 of 16 patients had reduced nasal obstruction symptoms and no allergic rhinitis. Four patients required adenoidectomy, three were lost to follow‐up …”

150th Anniversary of global adenoid investigations: unanswered questions and unsolved problems

“…Our long-term results 3-6 months after the discontinuation of medication did not indicate an adenoid size change and suggest that the therapy should be used continuously for a long-term period. A low rate of side effects allows for these steroids to be used topically for a long period of time(43,46,49,50). This tendency is especially visible in recent works, where the period of use of nasal steroids has been extended(42, 43).…”