This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

GEORGE A. GATES, MD
St Louis, Mo

Arch Otolaryngol Head Neck Surg. 1991;117(11):1308.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—Podoshin and colleagues¹ are to be commended for persisting in their study of the use of oral prednisone in the treatment of otitis media with effusion and following up their previous work with a randomized clinical trial. Before the results of this study can be applied to the care of patients, however, several problems in experimental design need to be addressed. First, none of the children in the study had received medical therapy for otitis media with effusion. This is at variance with accepted medical practice in the United States.² Second, the children were not stratified according to known risk factors, which might have led to unequal assignment of children to treatment groups with differing potential for spontaneous remission. Third, they excluded children with an adenoid/nasopharyngeal ratio of more than 0.73, which they interpret as being pathologic. Fourth, their otoscopic severity scale (which is missing . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?