Comparison of nasal valve dysfunction treatment outcomes for temperature-controlled radiofrequency and functional rhinoplasty surgery: a systematic review and meta-analyses.

IF 4.8 2区 医学 Q1 OTORHINOLARYNGOLOGY Rhinology Pub Date : 2024-06-01 DOI:10.4193/Rhin23.261
J K Han, J Perkins, D Lerner, M T Yim, L E Ishii
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引用次数: 0

Abstract

Background: Nasal valve dysfunction (NVD) is a substantial contributor to nasal airway obstruction. Minimally-invasive temp-erature-controlled radiofrequency (TCRF) treatment of the nasal valve is available and comparison with surgical techniques is warranted.

Methodology: Databases: Medline (PubMed), Embase, Cochrane Library.

Population: adults with preprocedural nasal obstruction symptom evaluation (NOSE) score >=45. Treatment effects were derived from a random effects model and reported as weighted mean difference in NOSE score between baseline; 3, 6, and 12 months postprocedure.

Results: Of 2529 initial articles, 5 studies describing TCRF treatment and 63 studies describing functional rhinoplasty were included. Pooled effect sizes for TCRF treatment and functional rhinoplasty were comparable in all analyses.

Conclusions: TCRF treatment of the internal nasal valve for NVD was associated with sustained effects comparable to functional rhinoplasty addressing the nasal valve only, rhinoplasty without concomitant turbinate treatment, and all rhinoplasty.

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温控射频和功能性鼻整形手术的鼻瓣膜功能障碍治疗效果比较:系统综述和荟萃分析。
背景:鼻瓣膜功能障碍(NVD)是导致鼻气道阻塞的主要原因。目前已有微创的温控射频(TCRF)治疗鼻瓣膜的方法,有必要与外科技术进行比较:数据库:研究对象:术前鼻阻塞症状评估(NOSE)评分≥45分的成人。治疗效果由随机效应模型得出,并以基线、术后 3、6 和 12 个月 NOSE 评分的加权平均差进行报告:在 2529 篇初始文章中,共纳入了 5 篇描述 TCRF 治疗的研究和 63 篇描述功能性鼻整形术的研究。在所有分析中,TCRF 治疗和功能性鼻整形术的汇总效应大小相当:结论:TCRF 治疗鼻内瓣膜病的持续效果与只针对鼻内瓣膜的功能性鼻整形术、不同时治疗鼻甲的鼻整形术和所有鼻整形术相当。
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来源期刊
Rhinology
Rhinology 医学-耳鼻喉科学
CiteScore
15.80
自引率
9.70%
发文量
135
审稿时长
6-12 weeks
期刊介绍: Rhinology serves as the official Journal of the International Rhinologic Society and is recognized as one of the journals of the European Rhinologic Society. It offers a prominent platform for disseminating rhinologic research, reviews, position papers, task force reports, and guidelines to an international scientific audience. The journal also boasts the prestigious European Position Paper in Rhinosinusitis (EPOS), a highly influential publication first released in 2005 and subsequently updated in 2007, 2012, and most recently in 2020. Employing a double-blind peer review system, Rhinology welcomes original articles, review articles, and letters to the editor.
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