How effective are intranasal corticosteroids for improving nasal airway obstruction in children with moderate to severe adenoidal hypertrophy?
Numerous methodological flaws could be observed in the included studies and these may weaken the strength of evidence provided in this review.The trials lasted from 8 to 24 weeks.The optimal duration of treatment, minimum adequate dosage, and risk of adverse events, including adrenal suppression and growth retardation, need to be explored in future studies.
Adenoidal hypertrophy is a common childhood condition, and represents one of the most frequent indications for surgery in children. Commonly, medical management is limited to the treatment of concurrent infections and the complications of adenoidal enlargement.¹ 1. Sclafani AP et al. Pediatrics 1998; 101:675–681.