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

• Autor(a) principal: Costa,Tatyana Machado Ramos
• Data de Publicação: 2021
• Outros Autores: Carneiro,Fernanda Melo, Oliveira,Karen Amanda Soares de, Souza,Maria Fernanda Barbosa, Avelino,Melissa Ameloti Gomes, Wastowski,Isabela Jubé
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Brazilian Journal of Otorhinolaryngology
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942021000600742
• topic: Phototherapy; Intranasal irradiation; Allergic rhinitis; Rhinophototherapy; Hay fever

Abstract 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.