Efficacy and Cost Analysis of Steroids in Treatment of Otitis Media With Effusion
Otitis Media With Effusion
About this trial
This is an interventional treatment trial for Otitis Media With Effusion
Eligibility Criteria
Inclusion Criteria:
- history of mild ear ache or decreased hearing for three or more months, plus
- intact and immobile tympanic membrane by pneumatic otoscopy
- Type B tympanogram
Exclusion Criteria:
- any external ear condition that hampers visualization of tympanic membrane
- lost to follow up
Sites / Locations
- Lumbini Medical College
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
No Intervention
Experimental
Experimental
Experimental
Wait and watch (Group D)
Mometasone spray (Group B)
antibiotic + histaminic + oxymetazoline drops (Group A)
Oral steroid (Group C)
Wait and watch for 1 month
Standard dose of mometasone furoate nasal spray (one spray in each nostril once daily) for one month will be given
This group will receive oral cefpodoxime (10 mg/kg/day in two divided dose for a week) plus oral histaminics and oxymetazoline drops. Standard dose of oral histaminics (levocetirizine, 1.25 mg for age below six years, 2.5 mg for older age) for a month plus oxymetazoline nasal drops (Nasivion 0.025%) for two weeks will be given
Patients in this group will receive one mg/kg/day of oral prednisolone (Oral steroid) in two divided dose for a week followed by half mg/kg/day in two divided dose for next one week