[Evidence-based phytotherapy in otorhinolaryngology-the update].

Area of Science:

• Evidence-based medicine
• Pharmacology
• Integrative medicine

Context:

• Phytopharmaceuticals have been used for centuries as primary medicines.
• The World Health Organization recognizes phytotherapy as a crucial healthcare pillar.
• This review updates a 2011 article, focusing on research from 2011 to the present.

Purpose:

• To identify relevant phytopharmaceuticals in otorhinolaryngology.
• To assess the evidence-based data supporting their use in the field.

Summary:

• A literature search (2011-2024) focused on randomized, controlled trials in English adhering to Good Clinical Practice (GCP) guidelines.
• Searches for "phytotherapy," "traditional medicine," and "Chinese medicine" yielded limited relevant studies in otorhinolaryngology (14 total).
• Few studies employed standardized methods or materials, and many lacked adequate GCP adherence.

Impact:

• Despite numerous publications, a lack of standardization and methodological rigor impedes objective conclusions on phytopharmaceutical efficacy.
• There has been no significant advancement in understanding phytopharmaceutical effects due to inadequate research practices.
• Intensive, high-quality clinical research is necessary to fully realize the therapeutic potential of phytotherapy.