International Journal of Dental Medicine

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Comparison of Therapeutic Effects of Intra and Extra Oral Low Level Laser Radiation in Maxillary Chronic Sinusitis

Received: 02 March 2019    Accepted: 10 April 2019    Published: 06 May 2019
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Abstract

Chronic sinusitis is one of the most common chronic diseases. In this research, intra- oral radiation of low-level laser has been compared with extra-oral low level laser radiation in treating maxillary chronic sinusitis for the first time. In this clinical trial, 40 patients were enrolled. Treatment plan was performed in 8 sessions, every other day, and using low-level diode laser with 810 nm. SNOT-22 questionnaire and rhinomanometry were used for evaluating patients. Mann whiteny, Fridman and wilcoxson tests were used for data analyses. P. value < 0.05 was considered statistically significant. All studied variables were improved using intra and extra oral low-level laser and this improvement was statistically significant (P. value<0.05). Comparing the two groups, Intra-oral laser therapy significantly (P. value<0.05) improved rhinomanometry variables compared to extra-oral laser therapy. The two groups showed no significant difference in improvement of clinical symptoms that contained in the SNOT-22 questionnaire except for sneeze which intra-oral laser therapy significantly decreased this variable (P. value<0.05). It should be noted that intra-oral radiation reduced all symptoms earlier than extra-oral radiation. After Six-months, in intra-oral group there was no significant difference between the results of completion and the results of 8th treatment session (P. value> 0.05). But in extra-oral group only post nasal discharge and thick nasal discharge were significantly increased compared with the results of the 8th session of radiation. Other symptoms showed no significant difference (P. value>0.05). Using intra and extra oral low-level laser therapy is a suitable way to treat patients with chronic maxillary sinusitis.

DOI 10.11648/j.ijdm.20190501.14
Published in International Journal of Dental Medicine (Volume 5, Issue 1, June 2019)
Page(s) 19-28
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Chronic Sinusitis, Maxillary Sinusitis, Low-Level Laser Therapy, Extra Oral and Intra Oral Laser Therapy

References
[1] Kim W Ah-See, Andrew S Evans. Sinusitis and its management. British Medical Journal. 2007 Feb 17; 334 (7589): 358–361.
[2] Savastano V, Bertin S, Vittori T, Tripodi C, Magliulo G. Evaluation of chronic rhinosinusitis management using the SNOT-22 in adult cystic fibrosis patients. Eur Rev Med Pharmacol Sci. 2014; 18 (14): 1985-9.
[3] Farhood Z, Schlosser RJ, Pearse ME, Storck KA, Nguyen SA, Soler ZM Twenty-two-item Sino-Nasal Outcome Test in a control population: a cross-sectional study and systematic review. Int Forum Allergy Rhinol. 2016 Mar; 6 (3): 271-7.
[4] Cain RB, Lal D. Update on the management of chronic rhinosinusitis. Infect Drug Resist. 2013; 6: 1-14.
[5] John Malaty. Medical Management of Chronic Rhinosinusitis in Adult. Sinusitis 2016, 1 (1), 76-87.
[6] Naghdi S, Ansari NN, Fathali M, Bartley J, Varedi M, Honarpishe R. A pilot study into the effect of low-level laser therapy in patients with chronic rhinosinusitis. Physiother Theory Pract. 2013 Nov; 29 (8): 596-603.
[7] Isser DK, Sett S, Saha BP. The role of laser radiation therapy in maxillary sinusitis: Indian J Otolaryngol Head Neck Surg. 2002; 54: 208-15.
[8] Mortazavi H, Khalighi H, Goljanian A, Noormohammadi R, Mojahedi S, Sabour s. Intra-oral low level laser therapy in chronic maxillary sinusitis: A new and effective recommended technique. J Clin Exp Dent. 2015 Dec 1; 7 (5): e557-62.
[9] Howard B Cotler, Roberta T Chow, Michael R Hamblin, James Carroll. The Use of Low Level Laser Therapy (LLLT) For Musculoskeletal Pain. MOJ Orthop Rheumatol. 2015; 2 (5): 00068.
[10] Krespi Y, Kizhner V. Phototherapy for chronic rhinosinusitis. Lasers Surg Med. 2011; 43: 187-91.
[11] Benninger MS, Ferguson BJ, Hadley JA, Hamilos DL, Jacobs M, Kennedy DW, et al. Adult chronic rhinosinusitis: definitions, diagnosis, epidemiology, and pathophysiology. Otolaryngol Head Neck Surg. 2003; 129: S1-32.
[12] Rathora A, Bhattacharjee A. Clinical-radiological correlation and role of computed tomography staging in chronic rhinosinusitis. World J Otorhinolaryngol Head Neck Surg. 2017 Sep; 3 (3): 169–175.
[13] Zheng Y, Zhao Y, Lv D, Liu Y, Qiao X, An P, et al. Correlation between computed tomography staging and quality of life instrumentsin patients with chronic rhinosinusitis. Am J Rhinol Allergy. 2010; 24: 41-5.
[14] Suh JD, Kennedy DW. Treatment Options for Chronic Rhinosinusitis. Proc Am Thorac Soc. 2011; 8: 132-40.
[15] Hopkins C, Browne JP, Slack R, Lund V, Topham J, Reeves B, et al. The national comparative audit of surgery for nasal polyposis and chronic rhinosinusitis. Clin Otolaryngol. 2006. 31: 390-8.
[16] Hopkins C, Gillett S, Slack R, Lund VJ, Browne JP. Psychometric validity of 22-item sinonasal outcome test. Clin Otolaryngol. 2009; 34: 447-54.
[17] Proimos E, Papadakis CE, Chimona TS, Kiagiadaki D, Ferekidis E, Yiotakis J. The effect of functional endoscopic sinus surgery on patients with asthma and CRS with nasal polyps. Rhinology. 2010; 48: 331-8.
[18] Gillett S, Hopkins C, Slack R, Browne JP. A pilot study of the SNOT 22 score in adults with no sinonasal disease. Clin Otolaryngol. 2009; 34: 467-9.
[19] Suzina AH, Hamzah M, Samsudin AR. Objective assessment of nasal resistance in patients with nasal disease. J Laryngol Otol. 2003; 117: 609-13.
[20] Broms P, Jonson B, Malm L. Rhinomanometry. IV. A pre- and postoperative evaluation in functional septoplasty. Acta Otolaryngol. 1982, 94: 523-9.
[21] Krespi Y, Kizhner V. Phototherapy for chronic rhinosinusitis. Lasers in Surgery and Medicine 2011.43 (3): 187–191.
[22] Benninger MS, Ferguson BJ, Hadley JA, Hamilos DL, Jacobs M, Kennedy DW, et al. Adult chronic rhinosinusitis: definitions, diagnosis, epidemiology, and pathophysiology. Otolaryngol Head Neck Surg. 2003 129: S1-32.
[23] Caminha GP, Melo Junior JT, Hopkins C, Pizzichini E, Pizzichini M. SNOT- 22: psychometric properties and cross-cultural adaptation into the protugues language spoken in Brazil. Braz J Otorhinolaryngol. 2012; 78: 34-9.
[24] Eccles R. Nasal airflow in health and disease. Acta Otolaryngol. 2000, 120: 580-95.
[25] Wallwork B, Coman W, Mackay-Sim A, Greiff A, CervinA. A Double-Blind, Randomized, Placebo-Controlled Trial of Macrolide in the Treatment of Chronic Rhinosinusitis. Laryngoscope; 2006, 3: 116.
[26] Pekli FF, Kruchinina IL. Physiological functions of the nose before and after laser treatment of acute and chronic maxillary sinusitis in children. Vestn Otorinolaringol. 1988, (3): 53-5.
[27] Moustsen PA, Vinter N, Aas-Andersen L, Kragstrup J. Laser Treatment of Sinusitis in General Practice Assessed by a Double-blind Controlled Study. Ugeskr Laeger. 1991; 153: 2232-4.
[28] Hacarova. Low Level Laser Therapy of Sinusitis. 2002. Dobnerova 26, Olomouc, CZ. J. Hubacek, Faculty Hospital, ENT Clinic, I. P. Pavlova 6, Olomouc, CZ.
Author Information
  • Department of Oral Medicine, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran

  • Department of Oral Medicine, Dental School, Zanjan University of Medical Sciences, Zanjan, Iran

  • Department of Oral Medicine, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran

  • Department of Otolaryngology, Medical School, Shahid Beheshti University of Medical Sciences, Tehran, Iran

  • Department of Laser, Dental School, Shahid Beheshti, University of Medical Sciences, Tehran, Iran

  • Department of Clinical Epidemiology, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Cite This Article
  • APA Style

    Hamed Mortazavi, Robab Noormohammadi, Hamidreza Khalighi, Ali Goljanian, Masoud Mojahedi, et al. (2019). Comparison of Therapeutic Effects of Intra and Extra Oral Low Level Laser Radiation in Maxillary Chronic Sinusitis. International Journal of Dental Medicine, 5(1), 19-28. https://doi.org/10.11648/j.ijdm.20190501.14

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    ACS Style

    Hamed Mortazavi; Robab Noormohammadi; Hamidreza Khalighi; Ali Goljanian; Masoud Mojahedi, et al. Comparison of Therapeutic Effects of Intra and Extra Oral Low Level Laser Radiation in Maxillary Chronic Sinusitis. Int. J. Dent. Med. 2019, 5(1), 19-28. doi: 10.11648/j.ijdm.20190501.14

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    AMA Style

    Hamed Mortazavi, Robab Noormohammadi, Hamidreza Khalighi, Ali Goljanian, Masoud Mojahedi, et al. Comparison of Therapeutic Effects of Intra and Extra Oral Low Level Laser Radiation in Maxillary Chronic Sinusitis. Int J Dent Med. 2019;5(1):19-28. doi: 10.11648/j.ijdm.20190501.14

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  • @article{10.11648/j.ijdm.20190501.14,
      author = {Hamed Mortazavi and Robab Noormohammadi and Hamidreza Khalighi and Ali Goljanian and Masoud Mojahedi and Siamak Sabour},
      title = {Comparison of Therapeutic Effects of Intra and Extra Oral Low Level Laser Radiation in Maxillary Chronic Sinusitis},
      journal = {International Journal of Dental Medicine},
      volume = {5},
      number = {1},
      pages = {19-28},
      doi = {10.11648/j.ijdm.20190501.14},
      url = {https://doi.org/10.11648/j.ijdm.20190501.14},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijdm.20190501.14},
      abstract = {Chronic sinusitis is one of the most common chronic diseases. In this research, intra- oral radiation of low-level laser has been compared with extra-oral low level laser radiation in treating maxillary chronic sinusitis for the first time. In this clinical trial, 40 patients were enrolled. Treatment plan was performed in 8 sessions, every other day, and using low-level diode laser with 810 nm. SNOT-22 questionnaire and rhinomanometry were used for evaluating patients. Mann whiteny, Fridman and wilcoxson tests were used for data analyses. P. value  0.05). But in extra-oral group only post nasal discharge and thick nasal discharge were significantly increased compared with the results of the 8th session of radiation. Other symptoms showed no significant difference (P. value>0.05). Using intra and extra oral low-level laser therapy is a suitable way to treat patients with chronic maxillary sinusitis.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Comparison of Therapeutic Effects of Intra and Extra Oral Low Level Laser Radiation in Maxillary Chronic Sinusitis
    AU  - Hamed Mortazavi
    AU  - Robab Noormohammadi
    AU  - Hamidreza Khalighi
    AU  - Ali Goljanian
    AU  - Masoud Mojahedi
    AU  - Siamak Sabour
    Y1  - 2019/05/06
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    DO  - 10.11648/j.ijdm.20190501.14
    T2  - International Journal of Dental Medicine
    JF  - International Journal of Dental Medicine
    JO  - International Journal of Dental Medicine
    SP  - 19
    EP  - 28
    PB  - Science Publishing Group
    SN  - 2472-1387
    UR  - https://doi.org/10.11648/j.ijdm.20190501.14
    AB  - Chronic sinusitis is one of the most common chronic diseases. In this research, intra- oral radiation of low-level laser has been compared with extra-oral low level laser radiation in treating maxillary chronic sinusitis for the first time. In this clinical trial, 40 patients were enrolled. Treatment plan was performed in 8 sessions, every other day, and using low-level diode laser with 810 nm. SNOT-22 questionnaire and rhinomanometry were used for evaluating patients. Mann whiteny, Fridman and wilcoxson tests were used for data analyses. P. value  0.05). But in extra-oral group only post nasal discharge and thick nasal discharge were significantly increased compared with the results of the 8th session of radiation. Other symptoms showed no significant difference (P. value>0.05). Using intra and extra oral low-level laser therapy is a suitable way to treat patients with chronic maxillary sinusitis.
    VL  - 5
    IS  - 1
    ER  - 

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