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Updated: May 16, 2026

Acupoint Catgut Embedding Therapy in Traditional Chinese Medicine for Managing Allergic Rhinitis

Acupoint Catgut Embedding Therapy in Traditional Chinese Medicine for Managing Allergic Rhinitis

Published on: December 20, 2024

Topical steroids for nasal polyps.

Larry Kalish¹, Kornkiat Snidvongs, Rahuram Sivasubramaniam

¹Sydney Sinus and Allergy Centre, Suite 206, 203-233 New South Head Road, Edgecliff, NSW, Australia, 2027.

The Cochrane Database of Systematic Reviews

|December 14, 2012

Summary

This summary is machine-generated.

Topical corticosteroids effectively treat chronic rhinosinusitis with nasal polyps (CRSwNP), improving symptoms and reducing polyp size. Benefits outweigh risks, even after sinus surgery, though further research is needed.

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Last Updated: May 16, 2026

Acupoint Catgut Embedding Therapy in Traditional Chinese Medicine for Managing Allergic Rhinitis

Acupoint Catgut Embedding Therapy in Traditional Chinese Medicine for Managing Allergic Rhinitis

Published on: December 20, 2024

Area of Science:

Otolaryngology
Allergy and Immunology
Pharmacology

Background:

Chronic rhinosinusitis with nasal polyps (CRSwNP) involves nasal mucosa swelling and overgrowth, requiring ongoing management.
Topical corticosteroids are a common treatment, but usage varies in dosage, setting, and conjunction with sinus surgery.

Purpose of the Study:

To evaluate the efficacy of topical corticosteroids in treating CRSwNP.
To analyze treatment effects across patient subgroups based on prior sinus surgery.
To determine optimal dosing and delivery methods for topical corticosteroids.

Main Methods:

Systematic review and meta-analysis of randomized controlled trials (RCTs) identified through comprehensive database searches.
Forty RCTs involving 3624 patients were included.
Data extraction and analysis focused on sino-nasal symptoms, polyp size, and post-surgical polyp recurrence.

Main Results:

Topical corticosteroids significantly improved overall symptom scores and reduced polyp size compared to placebo.
Treatment led to a higher proportion of patients experiencing symptom improvement and polyp reduction.
Topical corticosteroids were effective in preventing polyp recurrence after surgery, with greater benefits observed in patients treated after sinus surgery.

Conclusions:

Topical corticosteroids are a beneficial and safe treatment for CRSwNP, with advantages exceeding minor adverse effects.
The treatment improves symptoms, decreases polyp size, and prevents recurrence post-surgery.
Patients undergoing sinus surgery may experience enhanced benefits from topical corticosteroids, warranting further investigation.