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Treatment of sinus headache using a device that combines acoustic vibration with oscillating expiratory pressure

OBJECTIVE: To determine if simultaneous administration of acoustic vibration and oscillating expiratory pressure affects the severity of facial pain among patients with complaint of “sinus headache”. METHODS: This is a prospective single‐arm observational study performed at a tertiary care medical c...

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Autores principales: Miglani, Amar, Germroth, Matthew, LaPointe, Kristina A., Nguyen, Shaun A., Meyer, Ted A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10446260/
https://www.ncbi.nlm.nih.gov/pubmed/37621300
http://dx.doi.org/10.1002/lio2.1124
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author Miglani, Amar
Germroth, Matthew
LaPointe, Kristina A.
Nguyen, Shaun A.
Meyer, Ted A.
author_facet Miglani, Amar
Germroth, Matthew
LaPointe, Kristina A.
Nguyen, Shaun A.
Meyer, Ted A.
author_sort Miglani, Amar
collection PubMed
description OBJECTIVE: To determine if simultaneous administration of acoustic vibration and oscillating expiratory pressure affects the severity of facial pain among patients with complaint of “sinus headache”. METHODS: This is a prospective single‐arm observational study performed at a tertiary care medical center. Subjects with complaint of sinus headache without evidence of chronic rhinosinusitis on exam or computed tomography participated in a clinical study applying simultaneous acoustic vibrations and positive expiratory pressure to the nasal cavity twice daily over 4 weeks. Efficacy was assessed using three validated pain metrics—pain visual analog scale (VAS), brief pain inventory‐short form (BPI‐SF), and McGill pain questionnaire‐short form (MPQ‐SF). Device safety and patient satisfaction were also assessed using questionnaires. RESULTS: Twenty‐nine patients (mean age 49 years, 55% female) completed the study without any major adverse events. At the 4 week follow‐up, facial pain VAS improved from mean ± SD of 59.6 ± 15.7 to 34.6 ± 21.7 (p < .001), BPI mean pain (mean ± standard deviation) improved from 4.4 ± 2.0 to 2.9 ± 1.9 (p = .007), and MPQ‐SF total improved from 12.2 ± 6.5 to 6.5 ± 5.2 (p < .001) with approximately 70% of patients achieving a minimal clinically important difference (MCID) across all metrics. Additionally, pain VAS was assessed 5 min after a single use at baseline with significant improvement (p < .001). Eighty‐six percent of subjects would both use device again and recommend it to others. CONCLUSIONS: Simultaneous administration of acoustic vibration and oscillating expiratory pressure appears to be a safe treatment for sinus headaches in patients without objective evidence of chronic sinusitis. Results from this initial study are promising with regard to efficacy in treatment of sinus headaches but will require further study. LEVEL OF EVIDENCE: 2c.
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spelling pubmed-104462602023-08-24 Treatment of sinus headache using a device that combines acoustic vibration with oscillating expiratory pressure Miglani, Amar Germroth, Matthew LaPointe, Kristina A. Nguyen, Shaun A. Meyer, Ted A. Laryngoscope Investig Otolaryngol Comprehensive (General) Otolaryngology OBJECTIVE: To determine if simultaneous administration of acoustic vibration and oscillating expiratory pressure affects the severity of facial pain among patients with complaint of “sinus headache”. METHODS: This is a prospective single‐arm observational study performed at a tertiary care medical center. Subjects with complaint of sinus headache without evidence of chronic rhinosinusitis on exam or computed tomography participated in a clinical study applying simultaneous acoustic vibrations and positive expiratory pressure to the nasal cavity twice daily over 4 weeks. Efficacy was assessed using three validated pain metrics—pain visual analog scale (VAS), brief pain inventory‐short form (BPI‐SF), and McGill pain questionnaire‐short form (MPQ‐SF). Device safety and patient satisfaction were also assessed using questionnaires. RESULTS: Twenty‐nine patients (mean age 49 years, 55% female) completed the study without any major adverse events. At the 4 week follow‐up, facial pain VAS improved from mean ± SD of 59.6 ± 15.7 to 34.6 ± 21.7 (p < .001), BPI mean pain (mean ± standard deviation) improved from 4.4 ± 2.0 to 2.9 ± 1.9 (p = .007), and MPQ‐SF total improved from 12.2 ± 6.5 to 6.5 ± 5.2 (p < .001) with approximately 70% of patients achieving a minimal clinically important difference (MCID) across all metrics. Additionally, pain VAS was assessed 5 min after a single use at baseline with significant improvement (p < .001). Eighty‐six percent of subjects would both use device again and recommend it to others. CONCLUSIONS: Simultaneous administration of acoustic vibration and oscillating expiratory pressure appears to be a safe treatment for sinus headaches in patients without objective evidence of chronic sinusitis. Results from this initial study are promising with regard to efficacy in treatment of sinus headaches but will require further study. LEVEL OF EVIDENCE: 2c. John Wiley & Sons, Inc. 2023-07-28 /pmc/articles/PMC10446260/ /pubmed/37621300 http://dx.doi.org/10.1002/lio2.1124 Text en © 2023 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Comprehensive (General) Otolaryngology
Miglani, Amar
Germroth, Matthew
LaPointe, Kristina A.
Nguyen, Shaun A.
Meyer, Ted A.
Treatment of sinus headache using a device that combines acoustic vibration with oscillating expiratory pressure
title Treatment of sinus headache using a device that combines acoustic vibration with oscillating expiratory pressure
title_full Treatment of sinus headache using a device that combines acoustic vibration with oscillating expiratory pressure
title_fullStr Treatment of sinus headache using a device that combines acoustic vibration with oscillating expiratory pressure
title_full_unstemmed Treatment of sinus headache using a device that combines acoustic vibration with oscillating expiratory pressure
title_short Treatment of sinus headache using a device that combines acoustic vibration with oscillating expiratory pressure
title_sort treatment of sinus headache using a device that combines acoustic vibration with oscillating expiratory pressure
topic Comprehensive (General) Otolaryngology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10446260/
https://www.ncbi.nlm.nih.gov/pubmed/37621300
http://dx.doi.org/10.1002/lio2.1124
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