Objective: To evaluate the efficacy of a standardised homeopathic treatment for children suffering from adenoid vegetations.Study design: Monocentre randomised double-blind clinical trial. Children aged between 4 and 10 years where an adenotomy was recommended were included. They were treated with either the homeopathic remedies Nux vomica D200, Okoubaka D3, Tuberculinum D200, Barium iodatum D4 and Barium iodatum D6 or with placebo. Patients were examined at weeks 4, 8 and 12. Total follow-up time was 12 weeks.Outcome criteria: The main outcome criterion was the physician's assessment as to whether an indication for operation still existed after three months. Secondary outcome criteria included the comparisons of speculum findings, snoring, oral respiration, defective hearing, audiogram and tympanogram. Results: A total of 97 children were recruited, 5O receiving homeopathic mications and 47 receiving placebo. At the end of the study, an adenotomy could be avoided in 63.8% of the placebo-treated and in 66.0% of the homeopathically treated children. These differences are not statistically significant (p=0.8349, Fisher's exact test). Moreover, both groups showed nearly identical results in all secondary outcome criteria.Conclusion: Homeopathic treatment does not seem to play a major role in reducing the need for adenotomy in children. Adenoid vegetations obviously recede spontaneously after a few months.
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Friese et al. (2001) studied this question.