Effect of Combination Montelukast and Nasal Mometasone on Childhood Adenoid Hypertrophy

  • سال انتشار: 1403
  • محل انتشار: مجله علمی گوش و حلق و بینی ایران، دوره: 36، شماره: 2
  • کد COI اختصاصی: JR_IJOTO-36-2_002
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 148
دانلود فایل این مقاله

نویسندگان

Mohsen Jafari

Division of Infectious Diseases, Department of Pediatrics, Bahrami Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Bahar Pourroshani

Department of Pediatrics, Bahrami Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Kambiz Eftekhari

Pediatric Gastroenterology and Hepatology Research Center, Division of Gastroenterology, Department of Pediatric, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Armen Malekiantaghi

Division of Gastroenterology, Department of Pediatrics, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Parisa Ashournia

Division of Allergy and Clinical Immunology, Department of Pediatrics, Bahrami Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Alireza Shafiei

Division of Allergy and Clinical Immunology, Department of Pediatrics, Bahrami Hospital, Tehran University of Medical Sciences, Tehran, Iran.

چکیده

Introduction: Adenoid hypertrophy is a common childhood disease; its standard treatment is adenoidectomy. The desire for medical management is increasing due to fewer complications and more convenience. The present study investigated the effect of adding oral montelukast to mometasone nasal spray in treating adenoid hypertrophy. Materials and Methods: This was a randomized, double-blind, placebo-controlled study conducted at a referral teaching hospital (Tehran, Iran) from September ۲۰۲۰ to September ۲۰۲۱. Children aged ۲ to ۱۴ years with clinical and radiological findings of adenoid hypertrophy were enrolled. Patients were randomly divided into two groups: mometasone nasal spray with oral montelukast (case group) or mometasone with placebo (control group). Then, the clinical scores were compared before and two months after the intervention. Results: Ninety-six patients completed the study [۶۲.۵% male (n=۶۰)]. Of these, ۵۱ were in the case and ۴۵ in the control group. The clinical score in each group decreased significantly after the intervention (P< ۰.۰۰۱), but the decrease in clinical score in the case group was not significantly different from the control (p=۰.۵۷۶). Conclusion: The results showed that the combination therapy with mometasone and montelukast has the same efficacy as mometasone and placebo in treating adenoid hypertrophy. Adding montelukast to mometasone has no additional effect.

کلیدواژه ها

Adenoid, Children, Mometasone furoate, Montelukast

اطلاعات بیشتر در مورد COI

COI مخفف عبارت CIVILICA Object Identifier به معنی شناسه سیویلیکا برای اسناد است. COI کدی است که مطابق محل انتشار، به مقالات کنفرانسها و ژورنالهای داخل کشور به هنگام نمایه سازی بر روی پایگاه استنادی سیویلیکا اختصاص می یابد.

کد COI به مفهوم کد ملی اسناد نمایه شده در سیویلیکا است و کدی یکتا و ثابت است و به همین دلیل همواره قابلیت استناد و پیگیری دارد.