Surgical Approaches for Allergic Rhinitis: A Systematic Review Protocol.

Area of Science:

• Otolaryngology
• Allergology
• Surgical Innovation

Background:

• Allergic rhinitis (AR) involves IgE-mediated nasal inflammation triggered by allergens.
• Standard AR management includes allergen avoidance, pharmacotherapy, and immunotherapy.
• Surgical options are considered for patients refractory to medical treatments.

Purpose of the Study:

• To systematically review and analyze the effectiveness of surgical interventions for allergic rhinitis.
• To evaluate functional and symptomatic outcomes in AR patients who have failed medical management.
• To determine the optimal surgical approach for improving patient quality of life.

Main Methods:

• Systematic qualitative analysis of prospective and retrospective studies.
• Inclusion of studies on inferior turbinate surgery, posterior nerve resection, vidian neurectomy, septoplasty, and endoscopic sinus surgery (ESS).
• Literature search of Medline, Web of Science, and Embase (1990-present), with independent data screening, appraisal, and synthesis.

Main Results:

• Data synthesis is pending completion of the systematic review.
• The review aims to identify which surgical methods yield the best patient outcomes.
• Analysis will focus on functional improvements and symptom relief post-surgery.

Conclusions:

• Surgical interventions offer potential relief for refractory allergic rhinitis.
• Further research is needed to establish the comparative effectiveness of different surgical techniques.
• The study will provide a qualitative analysis to guide otolaryngologists in AR management.