Reham ALaa Elkalla1, Adel Abdel Hamid Nossier2, Audrey Lynn Millar3, Mohamed Mahmoud El-Sheikh4, Rania Abdelhady Ahmed El Behairy5, Hussein Gamal Hussein Mogahed6. 1. Assistant Lecturer of Physical Therapy for Surgery, School of Physical Therapy, Badr University in Cairo, Egypt. 2. Professor and Dean of Faculty of Physical Therapy, 6 October University, Egypt. 3. Professor and Chair of Physical Therapy Department, School of Health Science, Winston Salem State University, United States of America. 4. Assistant Professor of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Helwan University, Egypt. 5. Assistant Professor of Oral and Maxillofacial Surgery, School of Oral and Dental Medicine, Badr University in Cairo, Egypt. 6. Lecturer of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Egypt.
Abstract
BACKGROUND: Chronic sinusitis is one of the most common chronic diseases involving different age groups. The different etiological factors and difficult diagnostic procedures contribute to misdiagnosis and chronicity of sinusitis. There is no standard treatment for sinusitis. Long term use of corticosteroids and antibiotics may lead to numerous adverse side effects. Laser therapy has been suggested as a non-invasive treatment for sinusitis. It has anti-inflammatory and antibacterial effects. When considering maxillary sinusitis, discharge tends to collect in the sinus base due to its anatomy and altered physiology. To improve penetration of laser into the maxillary sinus, intraoral laser at the vestibule depth of the maxilla may be more effective. MATERIAL AND SUBJECT: Thirty-four patients with chronic maxillary sinusitis were assigned into two groups. All were assessed before and after treatment. Group A received laser radiation plus standard medical treatment and group B received medical treatment only. The treatment plan was performed in 12 sessions using a Diode laser with a wavelength of 810 nm and 980nm. The SNOT-22 questionnaire and Computed Tomography were used to evaluate patients. A p-value < 0.05 was considered statistically significant. RESULTS: Both groups showed a significant improvement in symptoms following treatment (p < .001), however, the laser therapy group demonstrated greater improvements for all variables in response to treatment as compared to the traditional treatment group (p < .001). CONCLUSIONS: Using high intensity intra-oral laser therapy with medical treatment is more effective than using medical treatment only for treatment of chronic maxillary sinusitis. 2020, Japan Medical Laser Laboratory.
BACKGROUND: Chronic sinusitis is one of the most common chronic diseases involving different age groups. The different etiological factors and difficult diagnostic procedures contribute to misdiagnosis and chronicity of sinusitis. There is no standard treatment for sinusitis. Long term use of corticosteroids and antibiotics may lead to numerous adverse side effects. Laser therapy has been suggested as a non-invasive treatment for sinusitis. It has anti-inflammatory and antibacterial effects. When considering maxillary sinusitis, discharge tends to collect in the sinus base due to its anatomy and altered physiology. To improve penetration of laser into the maxillary sinus, intraoral laser at the vestibule depth of the maxilla may be more effective. MATERIAL AND SUBJECT: Thirty-four patients with chronic maxillary sinusitis were assigned into two groups. All were assessed before and after treatment. Group A received laser radiation plus standard medical treatment and group B received medical treatment only. The treatment plan was performed in 12 sessions using a Diode laser with a wavelength of 810 nm and 980nm. The SNOT-22 questionnaire and Computed Tomography were used to evaluate patients. A p-value < 0.05 was considered statistically significant. RESULTS: Both groups showed a significant improvement in symptoms following treatment (p < .001), however, the laser therapy group demonstrated greater improvements for all variables in response to treatment as compared to the traditional treatment group (p < .001). CONCLUSIONS: Using high intensity intra-oral laser therapy with medical treatment is more effective than using medical treatment only for treatment of chronic maxillary sinusitis. 2020, Japan Medical Laser Laboratory.
Entities:
Keywords:
High Intensity Laser Therapy (HILT); Maxillary Sinusitis; Sino Nasal Outcome Test (SNOT22)
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