Surgical management of headache and facial pain/pressure in chronic rhinosinusitis: A systematic review and meta-analysis.
Int Forum Allergy Rhinol
; 14(9): 1465-1476, 2024 Sep.
Article
de En
| MEDLINE
| ID: mdl-38739100
ABSTRACT
BACKGROUND:
Headache and facial pain are common symptoms of chronic rhinosinusitis (CRS). However, given the numerous etiologies that can cause these symptoms, the impact of sinus surgery is not well characterized.METHODS:
A systematic review was performed by searching the literature from inception through June 6, 2023. English-language articles reporting outcomes for facial pain/pressure or headache following endoscopic sinus surgery were selected for inclusion. Meta-analyses were performed using random and fixed effect models on continuous measures (mean), mean difference (Δ), and proportions (%).RESULTS:
A total of 26 articles reporting on 2839 patients were selected for inclusion. The mean patient age was 44.0 ± 3.9 (range 16.0-84.0), with an average symptom duration of 5.3 ± 2.8 years. Among these patients, 56.5% (95% confidence interval [CI] 52.3-60.6) were male and 77.0% (95% CI 56.6-92.3) had nasal polyposis (NP). Patients with and without NP reported substantial reductions in both 22-item sino-nasal outcome test facial pain/pressure (with NP -1.4 [95% CI -1.6 to -1.2; relative reduction 59.1%]; without NP -1.5 [95% CI -1.9 to -1.1; relative reduction 60.9%]) and visual analogue scale (VAS) headache (with NP -2.5 [95% CI -2.8 to -2.1; relative reduction 67.2%]; without NP -2.8 [95% CI -4.7 to -1.0; relative reduction 42.7%]). Symptom reductions were greater in the without NP versus with NP group; VAS facial pain/pressure Δ0.4 (95% CI 0.2-0.6; p = 0.0006) and VAS headache Δ0.4 (95% CI 0.1-0.7; p = 0.02).CONCLUSIONS:
Our findings suggest that CRS patients, regardless of polyp status, benefit from significant reductions in facial pain/pressure and headache following surgical therapy.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Sinusite
/
Algie faciale
/
Rhinite
/
Céphalée
Limites:
Humans
Langue:
En
Journal:
Int Forum Allergy Rhinol
/
Int. forum allergy rhinol
/
International forum of allergy & rhinology (Print)
Année:
2024
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique
Pays de publication:
États-Unis d'Amérique