Low Dose, Short-Term Oral Methylprednisolone for Nasal Polyps: A Randomized Double-Blind Placebo-Controlled Trial

Authors

  • Romeo C. Sanchez, Jr. Department of Otorhinolaryngology- Head and Neck Surgery East Avenue Medical Center
  • Benjamin SA. Campomanes, Jr. Department of Otorhinolaryngology-Head and Neck Surgery, East Avenue Medical Center; Department of Otolaryngology Head and Neck Surgery, St. Luke’s Medical Center
  • Natividad A. Aguilar Department of Otorhinolaryngology-Head and Neck Surgery, East Avenue Medical Center; Department of Otolaryngology Head and Neck Surgery Manila Central University

DOI:

https://doi.org/10.32412/pjohns.v21i1-2.825

Keywords:

Nasal polyposis, methylprednisolone, rhinorrhea, nasal congestion, anosmia

Abstract

Objectives: To determine the efficacy of a 7-day treatment of methylprednisolone 16mg in

reducing the size of nasal polyps and on improvement of nasal symptoms.

 

Methods:

Design: Randomized double-blind placebo-controlled trial

Setting: Out-patient department of the East Avenue Medical Center

Patients: Patients 18 years old and above with nasal polyposis determined by history and endoscopic examination

 

Results: There was a significant decrease in polyp size by an average of 16% (P < .05) among 12 out of the 23 patients (52.17 %) in the steroid group versus placebo. The treatment group also exhibited an improvement in nasal symptoms of rhinorrhea, congestion and anosmia compared to the placebo.

 

Conclusion: Medical treatment with oral methylprednisolone given at a low dose of 16 mg for one week resulted in reduction of the size of nasal polyps and improved the symptoms of rhinorrhea, nasal congestion and anosmia. Other associated symptoms like headache, epistaxis,  sneezing, itchiness, epiphora, cough, postnasal drip, throat discomfort, facial pain, eye complaints and fever did not differ between the steroid and placebo groups.

 

Recommendation: One week of oral steroids can be used to treat nasal polyps initially. If there is response, this mode of management can be combined with a long-term course of intranasal steroid sprays9,10. Patients who do not respond may be referred for surgery.

 

Keywords: Nasal polyposis, methylprednisolone, rhinorrhea, nasal congestion, anosmia

 

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Published

2006-11-29

How to Cite

1.
Sanchez RC, Campomanes BS, Aguilar NA. Low Dose, Short-Term Oral Methylprednisolone for Nasal Polyps: A Randomized Double-Blind Placebo-Controlled Trial. Philipp J Otolaryngol Head Neck Surg [Internet]. 2006 Nov. 29 [cited 2024 Jun. 23];21(1-2):24-7. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/825