Detailed Information

Cited 2 time in webofscience Cited 0 time in scopus
Metadata Downloads

Long-term Outcomes of Turbinate Surgery in Patients With Allergic Rhinitis A Systematic Review and Meta-analysis

Authors
Park, Sang ChulKim, Do HyunJun, Young JoonKim, Soo WhanYang, Hyeon-JongYang, Song-IKim, Hyun JungKim, Dong-Kyu
Issue Date
Jan-2023
Publisher
American Medical Association
Citation
JAMA Otolaryngology - Head and Neck Surgery, v.149, no.1, pp 15 - 23
Pages
9
Indexed
SCIE
SCOPUS
Journal Title
JAMA Otolaryngology - Head and Neck Surgery
Volume
149
Number
1
Start Page
15
End Page
23
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/61934
DOI
10.1001/jamaoto.2022.3567
ISSN
2168-6181
2168-619X
Abstract
Importance Turbinate surgery is an effective treatment for allergic rhinitis (AR) refractory to medical treatment. However, the long-term outcomes of turbinate surgery are still unclear and have not yet been confirmed by a meta-analysis and systematic review of the literature. Objective To investigate the long-term outcomes and safety of turbinate surgery in AR by performing a meta-analysis. Data Sources MEDLINE, Embase, the Cochrane Library, and ClinicalTrials.gov were searched through April 2021. Study Selection Studies that analyzed turbinate surgery alone, had a follow-up period of more than 1 year, examined long-term efficacy of turbinate surgery, used current turbinate surgery methods, and were published in a peer-reviewed journal were included. Full-text reviews were performed by 2 independent reviewers. Conflicts were resolved by a third reviewer. Data Extraction and Synthesis Descriptive and quantitative data were extracted; weighted mean difference (WMD) was synthesized under a random-effects model. Heterogeneity was assessed using the Q statistic and the I2 metric. This study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guidelines. Main Outcomes and Measures The long-term outcomes of turbinate surgery on subjective nasal symptoms and objective parameters. Results Of the 3962 citations retrieved, 18 studies comprising 1411 patients were included. Findings showed significantly decreased symptom scores in nasal obstruction (WMD, 4.60, 95% CI, 3.43-5.76), rhinorrhea (WMD, 3.12; 95% CI, 1.97-4.28), sneezing (WMD, 2.64; 95% CI, 1.74-3.54), itching (WMD, 1.75; 95% CI, 1.20-2.30), and nasal resistance (WMD, 0.16; 95% CI, 0.08-0.24) and a significant increased total nasal volume (WMD, 0.96; 95% CI, 0.73-1.19). There was no significant difference in the occurrence of any complication. More than 1 year after surgery, the improvements in nasal obstruction (WMD, 5.18; 95% CI, 3.00-7.37), rhinorrhea (WMD, 3.57; 95% CI, 1.78-5.37), and sneezing (WMD, 2.95; 95% CI, 1.58-4.32) were maintained. Conclusions and Relevance In this systematic review and meta-analysis, turbinate surgery was associated with positive outcomes in AR and maintained the association during long-term follow-up. The rate of complications is also low. These findings can guide the preoperative counseling of patients with AR being considered for turbinate surgery.
Files in This Item
There are no files associated with this item.
Appears in
Collections
3. Graduate School > Graduate School > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Altmetrics

Total Views & Downloads

BROWSE