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Utilisation de l'AMSA pour le traitement des otites chez l'enfant

Publication : Aérosolthérapie dans le traitement de l’otite moyenne avec épanchement chez l’enfant
Publication en langue anglaise, Acta Otorrinolaringol Esp. 2009;60(4):217-226

Aerosol therapy in treatment of childhood otitis media with effusion
Carlos Saga,* Xabier Altuna, and Jesús Algaba

Introduction and objectives : We address the efficacy of aerosol therapy in the treatment of otitis media with effusion during childhood. We study audiometric recovery in comparison with other classic treatments.
Material and methods : This is a retrospective analysis of 37 patients suffering from otitis media with effusion treated with aerosols. We analyze the pure tone audiometry gap results for the whole sample of patients. We also evaluate the characteristics of the group of patients that had previously required surgery and the group withdrawn from aerosol therapy for not responding.
Results : Thirty-seven patients with a mean age of 6.8 years met the inclusion criteria. Audiometric tests were performed at the beginning of the treatment and after 1 month, 3 months, and finally 6–12 months. In audiometric terms, 76% of the patients achieved results similar to those obtained after surgery. Seven patients were withdrawn from treatment due to poor or no response to aerosol therapy or due to a lack of collaboration. Two patients developed complications not related to aerosol therapy (tympanic perforation and cholesteatoma pearl).
Conclusion : The efficacy of aerosol therapy is comparable to that obtained with classic treatments. We have found no differences in the outcomes obtained in the group previously treated with surgery. We found no indicators of poor response in those patients where the treatment failed.