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

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

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.

Publication types

  • Review