Tags

Type your tag names separated by a space and hit enter

The Proposed Usage of Intranasal Steroids and Antihistamines for Otitis Media with Effusion.
Curr Allergy Asthma Rep. 2019 09 05; 19(10):47.CA

Abstract

PURPOSE OF REVIEW

To examine the role of allergy medications in the treatment of otitis media with effusion (OME), focusing on use of intranasal steroids and antihistamines.

RECENT FINDINGS

There has been ongoing controversy regarding the role of allergy in the development of OME. Treatment of OME with medications commonly used for allergic symptomatology has been studied. Proposed treatment options include decongestants, mucolytics, oral steroids, topical steroids, antihistamines, and antibiotics. We begin by evaluating the proposed association between allergy and OME, and then evaluate intranasal steroids and oral antihistamine therapy in the treatment of OME. The role of the adenoid and concurrent nasal symptomatology is also addressed. The preponderance of data suggests that neither intranasal steroids nor antihistamines improve the long-term clearance of isolated OME and are therefore not recommended. However, data are notably limited with regard to improvement rates in OME in patients specifically with concurrent allergy and/or adenoid hypertrophy. Future studies of medications for OME would ideally incorporate study designs controlling for both allergic rhinitis and adenoid hypertrophy, to better understand the impact of these medications on OME in these subgroups of patients.

Authors+Show Affiliations

Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Brigham & Women's Hospital, 45 Francis Street ASB II, Boston, MA, 02115, USA.Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, 110 Francis Street, Suite 6E, Boston, MA, 02115, USA.Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Brigham & Women's Hospital, 45 Francis Street ASB II, Boston, MA, 02115, USA. jennifer_shin@meei.harvard.edu.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31486909

Citation

Roditi, Rachel E., et al. "The Proposed Usage of Intranasal Steroids and Antihistamines for Otitis Media With Effusion." Current Allergy and Asthma Reports, vol. 19, no. 10, 2019, p. 47.
Roditi RE, Caradonna DS, Shin JJ. The Proposed Usage of Intranasal Steroids and Antihistamines for Otitis Media with Effusion. Curr Allergy Asthma Rep. 2019;19(10):47.
Roditi, R. E., Caradonna, D. S., & Shin, J. J. (2019). The Proposed Usage of Intranasal Steroids and Antihistamines for Otitis Media with Effusion. Current Allergy and Asthma Reports, 19(10), 47. https://doi.org/10.1007/s11882-019-0879-x
Roditi RE, Caradonna DS, Shin JJ. The Proposed Usage of Intranasal Steroids and Antihistamines for Otitis Media With Effusion. Curr Allergy Asthma Rep. 2019 09 5;19(10):47. PubMed PMID: 31486909.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Proposed Usage of Intranasal Steroids and Antihistamines for Otitis Media with Effusion. AU - Roditi,Rachel E, AU - Caradonna,David S, AU - Shin,Jennifer J, Y1 - 2019/09/05/ PY - 2019/9/6/entrez PY - 2019/9/6/pubmed PY - 2020/5/6/medline KW - Adenoid KW - Allergic rhinitis KW - Antihistamines KW - Eustachian tube dysfunction KW - Intranasal steroids KW - Otitis media with effusion SP - 47 EP - 47 JF - Current allergy and asthma reports JO - Curr Allergy Asthma Rep VL - 19 IS - 10 N2 - PURPOSE OF REVIEW: To examine the role of allergy medications in the treatment of otitis media with effusion (OME), focusing on use of intranasal steroids and antihistamines. RECENT FINDINGS: There has been ongoing controversy regarding the role of allergy in the development of OME. Treatment of OME with medications commonly used for allergic symptomatology has been studied. Proposed treatment options include decongestants, mucolytics, oral steroids, topical steroids, antihistamines, and antibiotics. We begin by evaluating the proposed association between allergy and OME, and then evaluate intranasal steroids and oral antihistamine therapy in the treatment of OME. The role of the adenoid and concurrent nasal symptomatology is also addressed. The preponderance of data suggests that neither intranasal steroids nor antihistamines improve the long-term clearance of isolated OME and are therefore not recommended. However, data are notably limited with regard to improvement rates in OME in patients specifically with concurrent allergy and/or adenoid hypertrophy. Future studies of medications for OME would ideally incorporate study designs controlling for both allergic rhinitis and adenoid hypertrophy, to better understand the impact of these medications on OME in these subgroups of patients. SN - 1534-6315 UR - https://www.unboundmedicine.com/medline/citation/31486909/The_Proposed_Usage_of_Intranasal_Steroids_and_Antihistamines_for_Otitis_Media_with_Effusion_ DB - PRIME DP - Unbound Medicine ER -