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Review
. 2020 Dec;58(4):254-267.
doi: 10.5152/tao.2020.5218. Epub 2020 Dec 1.

Photodynamic Therapy as a New Treatment for Chronic Rhinosinusitis - A Systematic Review

Affiliations
Review

Photodynamic Therapy as a New Treatment for Chronic Rhinosinusitis - A Systematic Review

Anika Kaura et al. Turk Arch Otorhinolaryngol. 2020 Dec.

Abstract

This review examines the latest evidence for photodynamic therapy (PDT) in treating chronic rhinosinusitis. MedLine, EMBASE and TRIP Database searches were conducted using the terms: "photodynamic" or "phototherapy" or "photo" and "sinusitis" or "rhinosinusitis," date range January 2000 to May 2020. A total of 192 records were initially identified, after duplicates and exclusions, 9 full papers and 3 abstracts were included. All study types including in-vitro, animal and human studies were evaluated. Whilst there is in-vitro evidence for the efficacy of PDT's bactericidal effect on drug resistant bacteria and biofilm viability, there are few clinical studies. PDT is a promising area of research, but larger, focused studies looking at the safety, delivery, efficacy, and patient selection are required before it can be considered a viable treatment for CRS.

Keywords: Phototherapy; alternative therapies; paranasal sinus diseases; photodynamic therapy; sinusitis.

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Conflict of interest statement

Conflict of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Classification of Primary and Secondary Chronic Rhinosinusitis (adapted from Grayson et al. [2])
Figure 2
Figure 2
PRISMA Flow Diagram for Systematic Review

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