Rhinophototherapy, an alternative treatment of allergic rhinitis: Systematic review and meta-analysis

Introduction: Allergic rhinitis is a chronic inflammatory disease of the nasal mucosa, mediated by immunoglobulin E, affecting 1 in 6 individuals. The treatment aims at attaining symptomatic control with minimal side effects, a requirement for new alternative therapies, including phototherapy, as it...

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Autores principales:	Tatyana Machado Ramos Costa, Fernanda Melo Carneiro, Karen Amanda Soares de Oliveira, Maria Fernanda Barbosa Souza, Melissa Ameloti Gomes Avelino, Isabela Jubé Wastowski
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Phototherapy Intranasal irradiation Allergic rhinitis Rhinophototherapy Hay fever Otorhinolaryngology RF1-547
Acceso en línea:	https://doaj.org/article/512777ebb8dd48deb9f93428c05f670c
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spelling	oai:doaj.org-article:512777ebb8dd48deb9f93428c05f670c2021-11-06T04:24:20ZRhinophototherapy, an alternative treatment of allergic rhinitis: Systematic review and meta-analysis1808-869410.1016/j.bjorl.2020.12.016https://doaj.org/article/512777ebb8dd48deb9f93428c05f670c2021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1808869421000148https://doaj.org/toc/1808-8694Introduction: Allergic rhinitis is a chronic inflammatory disease of the nasal mucosa, mediated by immunoglobulin E, affecting 1 in 6 individuals. The treatment aims at attaining symptomatic control with minimal side effects, a requirement for new alternative therapies, including phototherapy, as it has an immunosuppressive and immunomodulatory effect. Objective: To identify the effectiveness of phototherapy in the treatment of allergic rhinitis through a meta-analysis. Methods: We searched Web of Science, Scielo, PubMed, SCOPUS, PEDro, and LILACS databases, using the terms: “intranasal irradiation”, “phototherapy” and “allergic rhinitis”. The R software Metafor package was used for the meta-analysis and the effect size was calculated for each symptom individually. Results: All symptoms decreased considerably after phototherapy: rhinorrhea (ES• = −1.35; p < 0.0001; I2 = 91.84%), sneezing (ES• = −1.24; p <  0.0001; I2 = 91.43%), nasal pruritus (ES• = −1.10; p < 0.0001; I2 = 91.43%); nasal obstruction (ES• = −1.11; p < 0.0001; I2 = 91.88%). The effects were more significant in perennial allergic rhinitis than in the seasonal type. Conclusion: Considering the effect size and the statistical significance attained in our study, rhinophototherapy showed to be an effective treatment for reducing the nasal symptom scores triggered by AR.Tatyana Machado Ramos CostaFernanda Melo CarneiroKaren Amanda Soares de OliveiraMaria Fernanda Barbosa SouzaMelissa Ameloti Gomes AvelinoIsabela Jubé WastowskiElsevierarticlePhototherapyIntranasal irradiationAllergic rhinitisRhinophototherapyHay feverOtorhinolaryngologyRF1-547ENBrazilian Journal of Otorhinolaryngology, Vol 87, Iss 6, Pp 742-752 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Phototherapy Intranasal irradiation Allergic rhinitis Rhinophototherapy Hay fever Otorhinolaryngology RF1-547
spellingShingle	Phototherapy Intranasal irradiation Allergic rhinitis Rhinophototherapy Hay fever Otorhinolaryngology RF1-547 Tatyana Machado Ramos Costa Fernanda Melo Carneiro Karen Amanda Soares de Oliveira Maria Fernanda Barbosa Souza Melissa Ameloti Gomes Avelino Isabela Jubé Wastowski Rhinophototherapy, an alternative treatment of allergic rhinitis: Systematic review and meta-analysis
description	Introduction: Allergic rhinitis is a chronic inflammatory disease of the nasal mucosa, mediated by immunoglobulin E, affecting 1 in 6 individuals. The treatment aims at attaining symptomatic control with minimal side effects, a requirement for new alternative therapies, including phototherapy, as it has an immunosuppressive and immunomodulatory effect. Objective: To identify the effectiveness of phototherapy in the treatment of allergic rhinitis through a meta-analysis. Methods: We searched Web of Science, Scielo, PubMed, SCOPUS, PEDro, and LILACS databases, using the terms: “intranasal irradiation”, “phototherapy” and “allergic rhinitis”. The R software Metafor package was used for the meta-analysis and the effect size was calculated for each symptom individually. Results: All symptoms decreased considerably after phototherapy: rhinorrhea (ES• = −1.35; p < 0.0001; I2 = 91.84%), sneezing (ES• = −1.24; p <  0.0001; I2 = 91.43%), nasal pruritus (ES• = −1.10; p < 0.0001; I2 = 91.43%); nasal obstruction (ES• = −1.11; p < 0.0001; I2 = 91.88%). The effects were more significant in perennial allergic rhinitis than in the seasonal type. Conclusion: Considering the effect size and the statistical significance attained in our study, rhinophototherapy showed to be an effective treatment for reducing the nasal symptom scores triggered by AR.
format	article
author	Tatyana Machado Ramos Costa Fernanda Melo Carneiro Karen Amanda Soares de Oliveira Maria Fernanda Barbosa Souza Melissa Ameloti Gomes Avelino Isabela Jubé Wastowski
author_facet	Tatyana Machado Ramos Costa Fernanda Melo Carneiro Karen Amanda Soares de Oliveira Maria Fernanda Barbosa Souza Melissa Ameloti Gomes Avelino Isabela Jubé Wastowski
author_sort	Tatyana Machado Ramos Costa
title	Rhinophototherapy, an alternative treatment of allergic rhinitis: Systematic review and meta-analysis
title_short	Rhinophototherapy, an alternative treatment of allergic rhinitis: Systematic review and meta-analysis
title_full	Rhinophototherapy, an alternative treatment of allergic rhinitis: Systematic review and meta-analysis
title_fullStr	Rhinophototherapy, an alternative treatment of allergic rhinitis: Systematic review and meta-analysis
title_full_unstemmed	Rhinophototherapy, an alternative treatment of allergic rhinitis: Systematic review and meta-analysis
title_sort	rhinophototherapy, an alternative treatment of allergic rhinitis: systematic review and meta-analysis
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/512777ebb8dd48deb9f93428c05f670c
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Rhinophototherapy, an alternative treatment of allergic rhinitis: Systematic review and meta-analysis

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