Elkalla Reham ALaa, Nossier Adel Abdel Hamid, Millar Audrey Lynn, El-Sheikh Mohamed Mahmoud, El Behairy Rania Abdelhady Ahmed, Mogahed Hussein Gamal Hussein
Assistant Lecturer of Physical Therapy for Surgery, School of Physical Therapy, Badr University in Cairo, Egypt.
Professor and Dean of Faculty of Physical Therapy, 6 October University, Egypt.
Laser Ther. 2020 Jul 17;29(1):35-40. doi: 10.5978/islsm.20-OR-06.
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.
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.
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).
Using high intensity intra-oral laser therapy with medical treatment is more effective than using medical treatment only for treatment of chronic maxillary sinusitis.
慢性鼻窦炎是涉及不同年龄组的最常见慢性病之一。不同的病因和困难的诊断程序导致鼻窦炎的误诊和慢性化。目前尚无鼻窦炎的标准治疗方法。长期使用皮质类固醇和抗生素可能会导致许多不良副作用。激光疗法已被建议作为鼻窦炎的一种非侵入性治疗方法。它具有抗炎和抗菌作用。考虑到上颌窦炎，由于其解剖结构和生理改变，分泌物往往积聚在窦底。为了提高激光对上颌窦的穿透率，在上颌前庭深度进行口腔内激光治疗可能更有效。
34例慢性上颌窦炎患者被分为两组。所有患者在治疗前后均进行评估。A组接受激光照射加标准药物治疗，B组仅接受药物治疗。使用波长为810nm和980nm的二极管激光进行12次治疗。采用SNOT-22问卷和计算机断层扫描对患者进行评估。p值<0.05被认为具有统计学意义。
两组治疗后症状均有显著改善（p<.001），然而，与传统治疗组相比，激光治疗组在所有变量上对治疗的反应改善更大（p<.001）。
高强度口腔内激光治疗联合药物治疗慢性上颌窦炎比单纯药物治疗更有效。
