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[Complementary Medicine in ENT: How Evidence-Based is Acupuncture?]

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  • 1HNO-Praxis Prof. Sertel und Kollegen, Germany, Ludwigshafen am Rhein.

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Summary

This review examines evidence-based acupuncture studies in ENT, finding recent growth but questioning the validity of control groups for true evidence-based conclusions.

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Area of Science:

  • Traditional Chinese Medicine
  • Integrative Medicine
  • Evidence-Based Practice

Background:

  • Acupuncture, originating from Traditional Chinese Medicine (TCM), involves applying needles to specific body points to harmonize Qi flow.
  • Its application aims to prevent or treat diseases by balancing the body's energy meridians.

Purpose of the Study:

  • To assess the evidence-based data and study standards for acupuncture in Ear, Nose, and Throat (ENT) conditions.
  • To review the current research landscape, including clinical and basic science investigations.

Main Methods:

  • A literature search was conducted using PubMed (Medline).
  • Included studies were randomized, clinical, and controlled trials adhering to Good Clinical Practice (GCP) guidelines, published in English.
  • The search focused on acupuncture in ENT, yielding 60 studies from 47,741 initially identified.

Main Results:

  • Over 87% of publications occurred between 2005 and 2025, indicating significant recent research interest.
  • Research encompasses clinical trials and basic science exploring acupuncture's effectiveness and mechanisms.
  • Promising research approaches are emerging in acupuncture therapy.

Conclusions:

  • While research is expanding, the application of 'evidence-based' to acupuncture studies is questionable.
  • Issues with control group selection, including the existence of ineffective acupuncture points and the feasibility of double-blinding, limit current evidence.
  • The control group remains a critical limitation in establishing definitive evidence for acupuncture's efficacy.