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Meta-Analysis
. 2021 Jun;278(6):1743-1753.
doi: 10.1007/s00405-021-06724-6. Epub 2021 Mar 6.

Endoscopic surgical treatment for rhinogenic contact point headache: systematic review and meta-analysis

Antonino Maniaci  1 , Federico Merlino  2 , Salvatore Cocuzza  2 , Giannicola Iannella  3   4 , Claudio Vicini  4 , Giovanni Cammaroto  4 , Jérome R Lechien  5   6   7   8 , Christian Calvo-Henriquez  9 , Ignazio La Mantia  2
Affiliations
Meta-Analysis

Endoscopic surgical treatment for rhinogenic contact point headache: systematic review and meta-analysis

Antonino Maniaci et al. Eur Arch Otorhinolaryngol. 2021 Jun.

Erratum in

Abstract

Purpose: This meta-analysis study was designed to analyze endoscopic surgery's role in treating rhinogenic contact point headache.

Methods: We performed a comprehensive review of the last 20 years' English language regarding Rhinogenic contact point headache and endoscopic surgery. We included the analysis papers reporting post-operative outcomes through the Visual Analogue Scale or the Migraine Disability Assessment scale.

Results: We provided 18 articles for a total of 978 RCPH patients. While 777 (81.1%) subjects underwent functional nasal surgery for RCPH, 201 patients (20.9%) were medically treated. A significant decrease from the VAS score of 7.3 ± 1.5 to 2.7 ± 1.8 was recorded (p < 0.0001). At quantitative analysis on 660 patients (11 papers), surgical treatment demonstrated significantly better post-operative scores than medical (p < 0.0001).

Conclusion: At comparison, surgical treatment in patients with rhinogenic contact points exhibited significantly better values at short-term, medium-term, and long term follow up. Endoscopic surgery should be proposed as the choice method in approaching the symptomatic patient.

Keywords: Concha bullosa; Endoscopic surgery; Rhinogenic contact point headache; Septal deviation; Septal spur.

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Conflict of interest statement

All authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
PRISMA flow diagram
Fig. 2
Fig. 2
QUADAS-2: the graphical display shows the possible risk of bias
Fig. 3
Fig. 3
Forest plot between surgical vs medical pre-operative and post-operative VAS scores. CI confidence interval, SD standard deviation
Fig. 4
Fig. 4
Subanalysis forest chart distinguishing patients based on follow-up term. CI confidence interval, SD standard deviation
Fig. 5
Fig. 5
Box plot pre- and post-operative outcomes’ comparison between surgery and medical therapy. Improvement in VAS scores of the medical therapy did not reach statistical significance (p = 0.57)
See this image and copyright information in PMC

Comment in

References

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