From the Research
Fluticasone nasal spray is not recommended for treating otic barotrauma. Otic barotrauma affects the middle ear due to pressure differences, while fluticasone nasal spray is designed to treat nasal inflammation and allergies. The medication would not effectively reach the affected area in the ear.
Treatment Options
Instead, treatment for otic barotrauma typically includes:
- Decongestants
- Pain relievers like acetaminophen or ibuprofen
- Techniques to equalize ear pressure such as yawning, swallowing, or the Valsalva maneuver In more severe cases, a healthcare provider might prescribe oral steroids or antibiotics if infection develops.
Nasal Decongestants
Nasal decongestants may help indirectly by reducing congestion around the Eustachian tubes, but the nasal steroid spray itself would not provide direct benefit for ear barotrauma.
Evidence
According to a study published in 2021 1, pretreatment with intranasal oxymetazoline and fluticasone in patients undergoing hyperbaric oxygen therapy did not significantly reduce middle ear barotrauma.
Recommendation
Patients should consult a healthcare provider for proper diagnosis and treatment of ear barotrauma rather than attempting to use fluticasone nasal spray for this condition.
Key Points
- Otic barotrauma is a common problem that can occur during air travel or hyperbaric oxygen therapy
- Fluticasone nasal spray is not effective in treating otic barotrauma
- Treatment options include decongestants, pain relievers, and techniques to equalize ear pressure
- Patients should consult a healthcare provider for proper diagnosis and treatment.