Rhinophototherapy in persistent allergic rhinitis

Eur Arch Otorhinolaryngol. 2017 Mar;274(3):1543-1550. doi: 10.1007/s00405-016-4358-x. Epub 2016 Nov 18.

Abstract

Previous published results have revealed that Rhinolight® intranasal phototherapy is safe and effective in intermittent allergic rhinitis. The present objective was to assess whether phototherapy is also safe and effective in persistent allergic rhinitis. Thirty-four patients with persistent allergic rhinitis were randomized into two groups; twenty-five subjects completed the study. The Rhinolight® group was treated with a combination of UV-B, UV-A, and high-intensity visible light, while the placebo group received low-intensity visible white light intranasal phototherapy on a total of 13 occasions in 6 weeks. The assessment was based on the diary of symptoms, nasal inspiratory peak flow, quantitative smell threshold, mucociliary transport function, and ICAM-1 expression of the epithelial cells. All nasal symptom scores and nasal inspiratory peak flow measurements improved significantly in the Rhinolight® group relative to the placebo group and this finding persisted after 4 weeks of follow-up. The smell and mucociliary functions did not change significantly in either group. The number of ICAM-1 positive cells decreased non-significantly in the Rhinolight® group. No severe side-effects were reported during the treatment period. These results suggest that Rhinolight® treatment is safe and effective in persistent allergic rhinitis.

Keywords: Intercellular adhesion molecule-1 expression; Intranasal phototherapy; Mucociliary clearance; Nasal inspiratory peak flow; Persistent allergic rhinitis; Rhinolight®.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Administration, Intranasal
  • Adult
  • Female
  • Humans
  • Intercellular Adhesion Molecule-1 / metabolism*
  • Male
  • Middle Aged
  • Mucociliary Clearance
  • Nasal Mucosa / metabolism
  • Phototherapy* / adverse effects
  • Phototherapy* / instrumentation
  • Phototherapy* / methods
  • Respiratory Function Tests / methods
  • Rhinitis, Allergic* / diagnosis
  • Rhinitis, Allergic* / metabolism
  • Rhinitis, Allergic* / physiopathology
  • Rhinitis, Allergic* / therapy
  • Symptom Assessment / methods
  • Treatment Outcome

Substances

  • Intercellular Adhesion Molecule-1