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VOLUME 7 , ISSUE 1 ( January-April, 2014 ) > List of Articles

RESEARCH ARTICLE

Efficacy of Mometasone Nasal Spray in Children with Snoring due to Adenoids

Vipan Gupta, Sunder Singh, Prithpal S Matreja

Keywords : Obstructive sleep apnea syndrome,Intranasal steroids,Adenoid hypertrophy

Citation Information : Gupta V, Singh S, Matreja PS. Efficacy of Mometasone Nasal Spray in Children with Snoring due to Adenoids. Clin Rhinol An Int J 2014; 7 (1):1-4.

DOI: 10.5005/jp-journals-10013-1179

Published Online: 01-04-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

Snoring and OSA is very commonly seen among the pediatric population, most commonly due to adenoid and tonsil hypertrophy which requires adenotonsillectomy. The effect of this surgery on the immunity is controversial. This study was planned to see any alternative therapy which can delay or avoid the surgery by providing symptomatic relief to the patient.

Objective

To see the effect of intranasal mometasone on nasal obstruction due to adenoids, hence relieving the OSA and snoring.

Design

Prospective and observational study.

Materials and methods

Fifty-five children having snoring and or OSA due to adenoids were given intranasal mometasone. The symptoms before and after treatment were compared using OSA 18 questionnaire.

Results

There was significant improvement in all the domains of OSA 18. The average total score showed improvement from 56.33 to 51.51 which is significant (p < 0.001).

Conclusion

The use of intranasal steroids is easy and effective method to improve nasal obstruction, snoring and OSA among children having adenoid hypertrophy.

How to cite this article

Gupta V, Gupta M, Matreja PS, Singh S. Efficacy of Mometasone Nasal Spray in Children with Snoring due to Adenoids. Clin Rhinol An Int J 2014;7(1):1-4.


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  1. Rhinosinusitis and otitis media: the link with adenoids. Int J Immunopathol Pharmacol 2010;23(Suppl 1):38-40.
  2. Obstructive sleep apnea syndrome (OSAS) in mouth breathing children. Braz J Otorhinolaryngol 2010;76:552-556.
  3. Pharyngitis and adenotonsilar disease. Em: Cummings CW, Flint PW, editors. Cummings otolaryngology head and neck surgery. 4th ed. Philadelphia: Elsevier Mosby; 2005. p.4135-4139.
  4. Nasal corticosteroids for children with snoring. Pediatr Pulmonol 2004;38:161-167.
  5. Quality of life in children with sleep-disordered breathing: evaluation by OSA-18. Braz J Otorhinolaryngol 2006;72:747-756.
  6. Morphology and immunology of the human palatine tonsil. Anat Embryol (Berl) 2001;204:367-373.
  7. Efeitos da adenoamigdalectomia no sistema imune humoral. Rev Bras Otorhinolaryngol 1998; 64:437-440.
  8. IgM, IgG serum levels and lymphocytes count before and after adenotonsillectomy. Iran J Immunol 2006;3:187-191.
  9. Using nasal steroids to treat nasal obstruction caused by adenoid hypertrophy: does it work? Otolaryngol Head Neck Surg 2009;140:139-147.
  10. Long-term follow-up of children undergoing topical intranasal steroid therapy for adenoidal hypertrophy. Int J Pediatr Otorhinolaryngol 2008;72:1171-1175.
  11. Objective reduction in adenoid tissue after mometasone furoate treatment. Int J Pediatr Otorhinolaryngol 2012;76:829-831.
  12. Efficacy of fluticasone nasal spray for pediatric obstructive sleep apnea. J Pediatr 2001;138:838-840.
  13. Long-term effects of pediatric adenotonsillectomy on serum immunoglobulin levels: results of a randomized controlled trial. Ann Allergy Asthma Immunol 2006;97:251-256.
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