The medical uses of manosonic nebulizers (AMSA®) in 2018.

European Annals of Otorhinolaryngology, Head and Neck Diseases
M FieuxS Tringali

Abstract

The purpose of repeated application of manosonic nebulizers (AMSA®) is to ensure active Eustachian tube rehabilitation and optimal middle-ear drug diffusion. In response to recent changes in marketing authorizations issued by the French National Drug Safety Agency (ANSM), the present study investigated how AMSA® is used in the Auvergne-Rhône-Alpes Region of France. A prospective non-interventional regional 1-year survey was conducted in 701 general practitioners and community and hospital ENT physicians in the Auvergne-Rhône-Alpes Region, using a questionnaire sent by mail with a reminder at 2 months. Percentage responses were compared on Chi2 test with alpha risk of 5%. Non-respondents were excluded. The main endpoints were rate of AMSA® prescription, and prescription modalities in a specific geographical territory (Auvergne-Rhône-Alpes Region) in 2018. 93% of the 114 respondents prescribed AMSA®, with 4,000 prescriptions in 1 year. 66.7% prescribed this treatment to avoid recourse to myringotomy. Mean treatment duration was 2 weeks (50.9% of respondents). The most frequent nebulized substance was saline serum (68.4% of respondents), sometimes associated to corticosteroids or mucolytics. The majority of physicians in the Auver...Continue Reading

References

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Oct 10, 2009·Acta otorrinolaringológica española·Carlos SagaJesús Algaba
Dec 3, 2014·European Annals of Otorhinolaryngology, Head and Neck Diseases·UNKNOWN Work group of the French Society of Otorhinolaryngology (SFORL)
Mar 31, 2015·European Annals of Otorhinolaryngology, Head and Neck Diseases·P BonfilsJ-L Mainardi

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