Findings

What do systematic reviews say?

86 questions · 86 findings · 13 reviews · ENT

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No studies found 35 · 40.7%GRADE not reported 2 · 2.3%Very low 14 · 16.3%Low 15 · 17.4%Moderate 18 · 20.9%High 2 · 2.3%

Intranasal steroid spray vs control

Hearing loss · Children with otitis media with effusion

Summary of findings: intranasal steroids showed no clear difference in hearing loss (Audiometry failing) [9 months]2 compared with control (moderate certainty).

1 finding from 1 review

Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children 2011 · Cochrane Headline outcomes only
RR 1.17 [0.87, 1.58]
141 participants
Moderate

Intranasal steroid spray vs control

OME resolution at short‐term · Children with otitis media with effusion

Summary of findings: intranasal steroids showed no clear difference in OME resolution at short‐term compared with control (moderate certainty).

1 finding from 1 review

Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children 2011 · Cochrane Headline outcomes only
RR 0.64 [0.31, 1.31]
1 study · 44 participants
Moderate

Intranasal steroid spray vs control

OME resolution at intermediate‐term · Children with otitis media with effusion

Summary of findings: intranasal steroids showed no clear difference in OME resolution at intermediate‐term compared with control (moderate certainty).

1 finding from 1 review

Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children 2011 · Cochrane Headline outcomes only
RR 1.11 [0.85, 1.46]
1 study · 172 participants
Moderate

Intranasal steroid spray vs control

OME resolution at long‐term · Children with otitis media with effusion

Summary of findings: intranasal steroids probably leads to lower OME resolution at long‐term compared with control (moderate certainty).

1 finding from 1 review

Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children 2011 · Cochrane Headline outcomes only
RR 0.85
1 study · 144 participants
Moderate

Intranasal steroid spray vs control

Symptoms · Children with otitis media with effusion

The review found no eligible studies for this question.

1 finding from 1 review

Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children 2011 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Intranasal steroid spray vs control

Adverse effects [3 months] · Children with otitis media with effusion

Summary of findings: intranasal steroids showed no clear difference in adverse effects [3 months] compared with control (low certainty).

1 finding from 1 review

Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children 2011 · Cochrane Headline outcomes only
RR 1.26 [0.8, 1.99]
2 studies · 231 participants
Low