Corticosteroid Use in Otolarynogology: What Does the Recent Evidence Tell Us?

Abstract

Program Description: Both oral and topical corticosteroids are used frequently in the practice of otolaryngology. Their use is often based on historical evidence rather than clinical research. First, we will overview corticosteroids’ mechanisms of action and their adverse effects. We will then present a brief overview on evidence-based medicine and grade the evidence to help the audience understand how the studies which we are discussing fit into the overall scheme of “best evidence.” We will then present short case examples in each of the subspecialty areas of otology/neurotology, rhinology, laryngology/head and neck surgery, and pediatric otolaryngology. We will poll the audience if, and how, they might use corticosteroids in these case examples. We will then have clinician scientists who have expertise in each of these areas review the recent evidence in the literature to see if there is any scientific support for their use. Where possible, we will reference clinical practice guidelines. Representative acute cases might include Bell’s palsy, sudden deafness, nasal polyposis, acute laryngotracheobronchitis, and deep neck space infections. We will then re-poll the audience for any changes of opinions. We will also discuss the general perioperative use of corticosteroids in ear surgery, sinus surgery, laryngeal surgery, and tonsillectomy. We feel that this mini-seminar will be of great importance to the general otolaryngologist, providing them with the knowledge of when and when not to use corticosteroids in both their office and surgical practices.

Educational Objectives: 1) Learn the evidence behind using corticosteroids in various otolaryngological disorders. 2) Understand the different oral and topical corticosteroid regimes. 3) Learn the proper use of corticosteroids in several common disorders.