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.
Endoscopic surgical treatment for rhinogenic contact point headache: systematic review and meta-analysis / Maniaci, A.; Merlino, F.; Cocuzza, S.; Iannella, G.; Vicini, C.; Cammaroto, G.; Lechien, J.; Calvo-Henriquez, C.; La Mantia, I.. - In: EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY. - ISSN 0937-4477. - 278:6(2021), pp. 1743-1753. [10.1007/s00405-021-06724-6]
Endoscopic surgical treatment for rhinogenic contact point headache: systematic review and meta-analysis
Iannella G.;
2021
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.| File | Dimensione | Formato | |
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Maniaci_Endoscopic_2021.pdf
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Note: https://link.springer.com/article/10.1007/s00405-021-06724-6
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