Researchers conducted this study to compare and contrast the current practice patterns of using systemic corticosteroids in the management of orbital complications of ABRS among fellowship-trained members of ASPO and ARS. The present study was a cross-sectional survey.

A web-based survey was electronically distributed to 497 members of ASPO and 845 members of ARS, focusing on the practice habits and opinions regarding the use of systemic corticosteroids in the treatment of ABRS with orbital complications in children and adults.

The survey completion rate was 19.1% among ASPO membership and 10.3% from ARS; 45% of respondents utilized steroids almost always or frequently in children and 36% of the time in adults. The most commonly reported indication for the use of steroids was vision change. Fellowship-trained pediatric otolaryngologists are 2.88 times more likely to prescribe corticosteroids for children than rhinologists. 

The study concluded that orbital complications of ABRS, practice patterns of using steroids differ significantly between fellowship-trained ASPO and ARS members concerning its use in children. Overall, corticosteroids are administered with significant frequency, although there is little actual or perceived evidence to support their safety or efficacy.