There has been a recent Cochrane review regarding whether serous fluid in the middle ear improves with decongestants and/or anti-histamines which are commonly prescribed by both pediatricians and ENTs for this condition. This review which analyzed the results from 7 studies revealed that these medications had NO impact on the resolution of serous otitis media. In fact, there were significant side effects detected in 1 out of every 9 children prescribed these medications without any significant impact on the fluid.
Reference: Extracts from the Cochrane Library: Antihistamines and/or decongestants for otitis media with effusion (OME) in children. Otolaryngol Head Neck Surg 136(1):11-13, 2007. Link.
Decongestants and Antihistamines Found Not to Help with Serous Otitis Media
Fauquier ENT
Dr. Christopher Chang is a private practice otolaryngology, head & neck surgeon specializing in the treatment of problems related to the ear, nose, and throat. Located in Warrenton, VA about 45 minutes west of Washington DC, he also provides inhalant allergy testing/treatment, hearing tests, and dispenses hearing aids.
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