In Reply.—First of all we would like to thank Gates for his interesting comments on our article.1 We began to treat children with otitis media with effusion (OME) about 25 years ago, when four children who were scheduled for ventilation tube introduction received a small amount of steroids for causes other than OME; their OME resolved and surgery was avoided. Since then we have treated long-standing OME in the following manner. The children received a course of ampicillin for 2 weeks, and if there was no improvement they received a combined course of ampicillin and prednisone. The children that did not respond well had ventilation tubes inserted. In 1978, we reviewed our cases and published our results.2 A previous study by Oppenheimer3 also reported good results in treating OME with oral steroids. We continued to treat persistent OME with a combination of antibiotics (ampicillin or amoxicillin) and
PODOSHIN L, FRADIS M, BEN-DAVID Y, FARAGGI D. Corticosteroid Treatment of Otitis Media With Effusion-Reply. Arch Otolaryngol Head Neck Surg. 1991;117(11):1308–1309. doi:10.1001/archotol.1991.01870230124024
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