口腔内低强度激光疗法治疗慢性上颌窦炎：一种新的有效推荐技术。

Intra-oral low level laser therapy in chronic maxillary sinusitis: A new and effective recommended technique.

作者信息

Mortazavi Hamed, Khalighi Hamidreza, Goljanian Ali, Noormohammadi Robab, Mojahedi Saeed, Sabour Siamak

机构信息

Associate Professor of Department of Oral Medicine, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Assistant Professor of Department of Oral Medicine, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Clin Exp Dent. 2015 Dec 1;7(5):e557-62. doi: 10.4317/jced.52282. eCollection 2015 Dec.

DOI:10.4317/jced.52282

PMID:26644829

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4663055/

Abstract

BACKGROUND

Chronic sinusitis is one of the most common chronic diseases involving different age groups. Because the nature and etiology of chronic sinusitis are not completely known, there is not any standard treatment for this disease. It has been suggested that low-level laser can be used in treating chronic sinusitis but there are limited studies about its usage. In this research, intra-oral radiation of low-level laser has been described and implemented for the first time. Suggested hypotheses about the efficacy of this type of radiation (intra-oral) in treating chronic maxillary sinusitis includes this fact that the depth of maxilla's vestibule is also the floor of maxillary sinus and sinus discharges collect in this area because of gravity effect. Therefore, with considering suitable radiation angle, this area gets the most benefits of laser's anti-inflammatory effects.

MATERIAL AND METHODS

In this study, 20 patients with chronic maxillary sinusitis were included. They were assessed before and after treatment. Treatment plan was performed in 8 sessions every other days using low-level diode laser with 810 nm. Snot-22 questionnaire and rhinomanometry were used for evaluating patients. Changes of signs and symptoms were recorded in questionnaire every session and 6 months after treatment. Friedman and Wilcoxon tests were used for data analyses. In this study, P value < 0.05 was considered statistically significant.

RESULTS

All variables and all symptoms of patients were improved using intra-oral low-level laser and this improvement was statistically significant (P value<0.05). There was also significant decrease in nasal airway resistance and significant increase in air flow (P value<0.05). Six month after treatment completion, there was no significant difference between the results of completion and the results of 8th treatment session (P value< 0.05).

CONCLUSIONS

Using intra-oral low-level laser is a suitable way to treat patients with chronic maxillary sinusitis.

KEY WORDS

Chronic sinusitis, maxillary sinusitis, low-level laser.

摘要

背景

慢性鼻窦炎是涉及不同年龄组的最常见慢性病之一。由于慢性鼻窦炎的性质和病因尚未完全明确，因此尚无针对该疾病的标准治疗方法。有人提出低强度激光可用于治疗慢性鼻窦炎，但关于其使用的研究有限。在本研究中，首次描述并实施了低强度激光经口照射。关于这种经口照射在治疗慢性上颌窦炎中的疗效提出的假设包括，上颌前庭的深度也是上颌窦的底部，由于重力作用，鼻窦分泌物会聚集在该区域。因此，考虑到合适的照射角度，该区域能最大程度地受益于激光的抗炎作用。

材料与方法

本研究纳入了20例慢性上颌窦炎患者。在治疗前后对他们进行评估。使用波长810nm的低强度二极管激光，每隔一天进行8次治疗。采用Snot-22问卷和鼻阻力测量法对患者进行评估。每次治疗时以及治疗后6个月，在问卷中记录体征和症状的变化。采用Friedman检验和Wilcoxon检验进行数据分析。在本研究中，P值<0.05被认为具有统计学意义。