THE EFFECT OF STEROIDAL NASAL SPRAY MOMETASONE FUROATE ON ADENOID HYPERTROPHY AND ITS RELATED COMPLICATIONS

Dr. Riyaz malik; Dr. Asif wani

Volume : V, Issue : IV, April - 2016

THE EFFECT OF STEROIDAL NASAL SPRAY MOMETASONE FUROATE ON ADENOID HYPERTROPHY AND ITS RELATED COMPLICATIONS

Dr. Riyaz Malik, Dr. Asif Wani

Abstract :

<p>&nbsp;INTRODUCTION:The treatment for the majority of children with uncomplicated AH is by adenoidectomy that is curative nevertheless,significant risks and problems are associated with this operation . In such instances surgical procedure could be replaced by non surgical methods. OBJECTIVE:We evaluated the efficacy of mometasone furoate aqueous nasal spray in decreasing adenoid size and reducing the severity of chronic nasal obstruction symptoms in children affected by adenoidal hypertrophy.METHODS:In the first stage, after a primary clinical evaluation and nasal endoscopy (time 0), children were assigned randomly to receive a single intranasal administration in each nostril of either MF aqueous nasal spray two puffs daily (group 1) or a placebo saline solution nasal spray (group 2) for 8 wks. At the end of the first 8wks , both groups were reassessed, to evaluate the efficacy of treatment. Patients in group A showed improvements in clinical findings were considered responders. score was assigned to each nasal symptom in relation to their severity. All scores were summed obtaining an overall symptom score for each patient before and after therapy . AH size was assessed by means of nasal endoscopy. RESULTS: The use of MF (group 1) was associated with reduction in adenoid size and the mean overall symptom scores . On the contrary, in group 2 no significant reduction in adenoid size and the mean overall symptom scores CONCLUSIONS: Mometasone furoate aqueous nasal spray may be considered useful in decreasing adenoid pad size and the severity of symptoms related to adenoidal hypertrophy. Children with adenoidal hypertrophy that is not associated with tonsillar hypertrophy should be considered for intranasal mometasone treatment before surgery is planned.</p>