Rhinophototherapy as adjuvant treatment in allergic rhinitis. Literature review
Abstract Introduction and objective: Allergic rhinitis is a chronic inflammatory disease of the nasal mucosa, mediated by immunoglobulin E. It affects one in six individuals, with a prevalence of 10% to 40% in the population. In recent years, the use of rhinophototherapy has been proposed to reduce its symptoms in patients who cannot benefit from intranasal corticosteroids or oral antihistamines; as well as adjuvant treatment to them. The objective of this review is to analyze the efficacy of rhinophototherapy as adjuvant treatment in allergic rhinitis. Method: A review was performed following PRISMA guidelines. The PubMed, Cinahl, PsycINFO, SPORTDiscus, Academic Search Complete, Lilacs, IBECS, CENTRAL, SciELO, and WOS databases were consulted. The Cochrane tool was used to assess the risk of bias and the quality of the evidence was assessed GRADE. Results: Rhinophototherapy is an effective adjuvant treatment in allergic rhinitis. The total sample was 251 patients. In all studies, the application of rhinophototherapy was safe and the duration of treatment ranged from two to six weeks, with an average of three times per week. Discussion: In the future it would be necessary to continue researching to establish a unified protocol regarding the frequency, duration and number of sessions. As well as analyzing the possible synergistic effect of this treatment with other therapies. Conclusions: Rhinophototherapy was effective in patients with allergic rhinitis. This therapy improves clinical symptoms of sneezing, rhinorrhea, nasal obstruction, nasal itching, palate itching, nasal inspiratory peak flow measurements, patient quality of life, and symptom severity.
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Costa TMR, Carneiro FM, Oliveira KAS, Souza MFB, Avelino MAG, Wastowski IJ. Rhinophototherapy, an alternative treatment of allergic rhinitis: Systematic review and meta-analysis. Braz J Otorhinolaryngol. 2021;87(6):742-752. https://doi.org/10.1016/j.bjorl.2020.12.016.
Siddiqui ZA, Walker A, Pirwani MM, Tahiri M, Syed I. Allergic rhinitis: diagnosis and management. Br J Hosp Med (Lond). 2022;83(2):1-9. https://doi.org/10.12968/hmed.2021.0570.
Tatar EÇ, Korkmaz H, Sürenoğlu UA, Saylam G, Ozdek A. Effects of rhinophototherapy on quality of life in persistant allergic rhinitis Clin Exp Otorhinolaryngol. 2013;6(2):73-7. https://doi.org/10.3342/ceo.2013.6.2.73.
Schutzmeier P, Kutzora S, Mittermeier I, Becker J, Bergmann KC, Böse-O'Reilly S, et al. Non-pharmacological interventions for pollen-induced allergic symptoms: Systematic literature review. Pediatr Allergy Immunol. 2022;33(1):e13690. https://doi.org/10.1111/pai.13690.
Leong SC. Rhinophototherapy: gimmick or an emerging treatment option for allergic rhinitis? Rhinology. 2011;49(5):499-506. https://doi.org/10.4193/Rhino11.118.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. J Clin Epidemiol. 2021;19:26.
Mamédio C, Andrucioli M, Cuce M. The PICO strategy for the research question construction and evidence research. Rev Latino-Am Enfermagem. 2007;15:508- 11.
Higgins JPT, Thomas J. Cochrane Handbook for Systematic Reviews of Interventions. 2.aed. WILEY Blackwell; 2019.
Aguayo-Aledo JL, Flores-Pastor B, Soria-Aledo V. Sistema GRADE: Clasificación de la calidad de la evidencia y graduación de la fuerza de la recomendación. Cirugía Española. 2014; 92(2):82-8.
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 2016;5(1):210.
Koreck AI, Csoma Z, Bodai L, Ignacz F, Kenderessy AS, Kadocsa E, et al. Rhinophototherapy: a new therapeutic tool for the management of allergic rinitis. J Allergy Clin Immunol. 2005;115(3):541-7. https://doi.org/10.1016/j.jaci.2004.11.005.
Garaczi E, Boros-Gyevi M, Bella Z, Csoma Z, Kemény L, Koreck A. Intranasal phototherapy is more effective than fexofenadine hydrochloride in the treatment of seasonal allergic rhinitis: results of a pilot study Photochem Photobiol. 2011;87(2):474-7. https://doi.org/10.1111/j.1751-1097.2010.00882.x.
Alyasin S, Nabavizadeh SH, Houshmand H, Esmaeilzadeh H, Jelodar S, Amin R. Short Time Efficiency of Rhinophototherapy in Management of Patients with Allergic Rhinitis Resistant to Medical Therapy Iran J Allergy Asthma Immunol. 2016;15(4):317-327.
Bella Z, Kiricsi Á, Viharosné ÉD, Dallos A, Perényi Á, Kiss M, et al. Rhinophototherapy in persistent allergic rhinitis. Eur Arch Otorhinolaryngol. 2017;274(3):1543-1550. https://doi.org/10.1007/s00405-016-4358-x.
Karali E, Gunes A, Ural A, Akin I, Ozsari E, Kalaycioglu O. Effect of rhinophototherapy on nasal congestion in patients with seasonal allergic rinitis. Acta Otorhinolaryngol Ital. 2021;41(2):151-158. https://doi.org/10.14639/0392-100X-N0907.
Siddiqui ZA, Walker A, Pirwani MM, Tahiri M, Syed I. Allergic rhinitis: diagnosis and management. Br J Hosp Med (Lond). 2022;83(2):1-9. https://doi.org/10.12968/hmed.2021.0570.
Tatar EÇ, Korkmaz H, Sürenoğlu UA, Saylam G, Ozdek A. Effects of rhinophototherapy on quality of life in persistant allergic rhinitis Clin Exp Otorhinolaryngol. 2013;6(2):73-7. https://doi.org/10.3342/ceo.2013.6.2.73.
Schutzmeier P, Kutzora S, Mittermeier I, Becker J, Bergmann KC, Böse-O'Reilly S, et al. Non-pharmacological interventions for pollen-induced allergic symptoms: Systematic literature review. Pediatr Allergy Immunol. 2022;33(1):e13690. https://doi.org/10.1111/pai.13690.
Leong SC. Rhinophototherapy: gimmick or an emerging treatment option for allergic rhinitis? Rhinology. 2011;49(5):499-506. https://doi.org/10.4193/Rhino11.118.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. J Clin Epidemiol. 2021;19:26.
Mamédio C, Andrucioli M, Cuce M. The PICO strategy for the research question construction and evidence research. Rev Latino-Am Enfermagem. 2007;15:508- 11.
Higgins JPT, Thomas J. Cochrane Handbook for Systematic Reviews of Interventions. 2.aed. WILEY Blackwell; 2019.
Aguayo-Aledo JL, Flores-Pastor B, Soria-Aledo V. Sistema GRADE: Clasificación de la calidad de la evidencia y graduación de la fuerza de la recomendación. Cirugía Española. 2014; 92(2):82-8.
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 2016;5(1):210.
Koreck AI, Csoma Z, Bodai L, Ignacz F, Kenderessy AS, Kadocsa E, et al. Rhinophototherapy: a new therapeutic tool for the management of allergic rinitis. J Allergy Clin Immunol. 2005;115(3):541-7. https://doi.org/10.1016/j.jaci.2004.11.005.
Garaczi E, Boros-Gyevi M, Bella Z, Csoma Z, Kemény L, Koreck A. Intranasal phototherapy is more effective than fexofenadine hydrochloride in the treatment of seasonal allergic rhinitis: results of a pilot study Photochem Photobiol. 2011;87(2):474-7. https://doi.org/10.1111/j.1751-1097.2010.00882.x.
Alyasin S, Nabavizadeh SH, Houshmand H, Esmaeilzadeh H, Jelodar S, Amin R. Short Time Efficiency of Rhinophototherapy in Management of Patients with Allergic Rhinitis Resistant to Medical Therapy Iran J Allergy Asthma Immunol. 2016;15(4):317-327.
Bella Z, Kiricsi Á, Viharosné ÉD, Dallos A, Perényi Á, Kiss M, et al. Rhinophototherapy in persistent allergic rhinitis. Eur Arch Otorhinolaryngol. 2017;274(3):1543-1550. https://doi.org/10.1007/s00405-016-4358-x.
Karali E, Gunes A, Ural A, Akin I, Ozsari E, Kalaycioglu O. Effect of rhinophototherapy on nasal congestion in patients with seasonal allergic rinitis. Acta Otorhinolaryngol Ital. 2021;41(2):151-158. https://doi.org/10.14639/0392-100X-N0907.
Sánchez-Lozano, J., & Martínez-Pizarro, S. (2023). Rhinophototherapy as adjuvant treatment in allergic rhinitis. Literature review. Revista ORL, 15(1), e31714. https://doi.org/10.14201/orl.31714
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