ABSTRACT
Objectives: adenoid hypertrophy [AH] remains the commonest cause of obstructive sleep apnea syndrome in children. Enlarged adenoids may also obstruct the Eustachian tube orifice, which can result in temporary conductive hearing loss. The presence of fluid in the middle ear [otitis media with effusion] is frequently associated with adenoidal hypertrophy and suggests Eustachian tube dysfunction. Surgical treatment is indicated in severe forms. However there are some limitations for surgery as the main route of therapy, e.g. in cleft palate adenoidectomy may lead to velopharyngeal incomptence or in bleeding tendency there is risk of hemorrhage after surgery. In such instances surgical procedure could be replaced by non surgical methods. Intranasal steroids treatment have been proposed to reduce adenoid size and, consequently, to improve the clinical picture of pediatric patients affected by adenoid hypertrophy
Study design: meta-analysis review of literatures
Methods: searching at the pub-med [Medline database] for articles including the following key words: Intranasal steroids in adenoid hypertrophy. Efficacy of Intranasal steroids in treatment of AH. The included articles were 7 articles fulfilled the inclusion criteria
Data collection: the data collected from the chosen 7 articles. Data analysis: data analysis was performed utilizing meta-analytic review manger [RevManS] software
Conclusion: the results show a significant difference between patients receiving Intranasal steroids and patients receiving placebo. Nasal administration of steroids is safe, reproducible, easily performed, and well tolerated by pediatric patients. So, from these findings, it is concluded that Intranasal steroids therapy is effective in treatment of Adenoid Hypertrophy in children