Category: Otorrinolaringologia

Tratamiento de sinusitis


Tratamientos ineficaces contra la sinusitis
5 de diciembre de 2007
Un estudio británico sugiere que los antibióticos y los esteroides nasales no mejoran los síntomas.

Según el nuevo estudio, los antibióticos y los esteroides inhalados no son más eficaces que el placebo, especialmente para los casos de sinusitis aguda.

Según el doctor norteamericano Reginald F. Baugh, del A&M Health Science Center College de Texas, en la mayoría de casos, lo mejor es no tratar.

Más información: Journal of the American Medical Association 2007;298:2487-2496

P.E.A.R.L.S (Practical Evidence About Real Life Situations) Otitis Media Aguda tratamiento


P.E.A.R.L.S          Practical Evidence About Real Life Situations

 

  

Autoinflation for otitis media with effusion helpful in the short term

 

Clinical Question

Is autoinflation effective for hearing loss in adults and children with otitis media with effusion?

Bottom Line

Evidence for the use of autoinflation in the short term (up to 3 months) is favourable. Given the low cost and absence of adverse effects it is reasonable to consider autoinflation whist awaiting natural resolution of otitis media with effusion.

Caveat

All of the studies were small, of limited treatment duration (3 weeks to 3 months) and short follow-up. The long-term effects of this treatment cannot be determined.

Context

Otitis media with effusion (“glue ear”) is the most common cause of acquired hearing loss in children, and can lead to problems of language, development and behaviour. Although there are a number of treatment option (steroids, antibiotics, decongestants, antihistamines and grommet insertion), the best treatment strategy remains controversial as the condition often resolves spontaneously within a few months. Autoinflation is a technique whereby the Eustachian tube is reopened by raising pressure in the nose, encouraging drainage of the fluid.

Cochrane Systematic Review

Perera R et al. Autoinflation for hearing loss assciated with otitis media with effusion. Cochrane Reviews, 2006, Issue 4 . Art No. : CD006285. DOI :1002/1465 1858. CD005608.

This review contains 6 studies with 558 participants.

PEARLS No. 22, November 2007, written by Brian R McAvoy