Balneoterapia e Otorrinolaringologia - Revisão Sistemática

João Simões, Nuno Carrainho, Sofia Paiva, António Paiva

Resumo


Introdução: A Balneoterapia foi definida recentemente como o uso de águas minerais naturais para aplicação terapêutica. Este trabalho tem como objetivo realizar uma revisão bibliográfica sistemática da balneoterapia na patologia do foro Otorrinolaringológico (ORL).

Materiais e Métodos: Foi realizada uma revisão bibliográfica sistemática baseada no modelo PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) seguindo a estrutura hierárquica dos 5 Ss conceptualizada por Haynes, que representa uma pirâmide com cinco níveis de organização da evidência. Consultaram-se ainda websites relevantes de associações de hidrologia médica.

Resultados: Atualmente, existe evidência para uso da terapêutica hidrológica em doenças ORL. Os resultados mais relevantes consideram o papel terapêutico das águas sulfúreas e cloretadas sódicas na rinite e sinusite em crianças e adultos. Outro papel relevante é na melhoria dos parâmetros audiométricos em crianças com otite média com efusão.

Conclusões: A evidência científica recente demonstra que a terapêutica termal é, de facto, baseada em fundamentos científicos consistentes. É necessário o desenvolvimento de mais ensaios randomizados e controlados para a inclusão desta abordagem terapêutica em guidelines clínicas.


Palavras-chave


Balneoterapia; Rinossinusite; Água mineral natural

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Referências


Mooventhan A, Nivethitha L. Scientific evidencebased effects of

hydrotherapy on various systems of the body. North Am J Med Sci

6:199-209

Balint G, Bender T, Szabó E. Spa treatment in arthritis. JRheumatol.

20:1623-1625

Seidman MD, Gurgel RK, Lin SY, Schwartz SR et al. Clinical Practice

Guideline: Allergic Rhinitis. Otolaryngology– Head and Neck Surgery.

2:1-43

Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, Brook I et al. Clinical

Practice Guideline (Update): Adult Sinusitis. Otolaryngology– Head

and Neck Surgery. 2015. 4:1-39

Haynes RB. Of studies, syntheses, synopses, summaries, and

systems: the “5S” evolution of information services for evidencebased

healthcare decisions. Evid Based Med. 2006. 11:162-164

Passali D, De Corso E, Platzgummer S, Streitberger C et al. Spa therapy

of upper respiratory tract inflammations. Eur Arch Otorhinolaryngol.

270(2):565-70

Staffieri A, Marino F, Staffieri C, Giacomelli L et al. The effects of

sulfurous-arsenical-ferruginous thermal water nasal irrigation in

wound healing after functional endoscopic sinus surgery for chronic

rhinosinusitis: a prospective randomized study. American Journal of

Otolaryngology–Head and Neck Medicine and Surgery. 2008. 29:223–229

Staffieri A, Abramo A. Sulphurous-arsenical-ferruginous (thermal)

water inhalations reduce nasal respiratory resistance and improve

mucociliary clearance in patients with chronic sinonasal disease:

preliminary outcomes. Acta Otolaryngol. 2007. 127(6):613-7

Giancarlo Ottaviano, Gino Marioni, Luciano Giacomelli, Fabio Biagio

La Torre et al. Smoking and chronic rhinitis: effects of nasal irrigations

with sulfurous-arsenical-ferruginous thermal water. A prospective,

randomized, double-blind study. American Journal of Otolaryngology–

Head and Neck Medicine and Surgery. 2012. 33:657–662

Ottaviano G, Marioni G, Staffieri C, Giacomelli L et al. Effects of

sulfurous, salty, bromic, iodic thermal water nasal irrigations in

nonallergic chronic rhinosinusitis: a prospective, randomized, doubleblind,

clinical, and cytological study. American Journal of Otolaryngology–

Head and Neck Medicine and Surgery. 2011. 32:235–239

Miraglia Del Giudice M, Decimo F, Maiello N, Leonardi S et al.

Effectiveness of Ischia Thermal Water nasal aerossol in children with

seasonal allergic rhinitis: a randomized and controlled study. Int. J.

Immunopathol. Pharmacol. 2011. 24:1105-1111

Passali D, Lauriello M, Passali GC, Passali FM et al. Clinical evaluation

of the efficacy of Salsomaggiore (Italy) thermal water in the treatment

of rhinosinusal pathologies. Clin Ter. 2008. 159(3):181-188

Cantone E, Marino A, Ferranti I, Castagna G et al. Nasal cytological

assessment after crenotherapy in the treatment of chronic

rhinosinusitis in the elderly. Int J Immunopathol Pharmacol. 2014.

(4):683-7

Fenu G, Bozzo C, Carai A, Delehaye E et al. Effects of Isotonic Salso-

Bromo-Iodine Thermal Water After Sinunasal Surgery: A Preliminary

Morphological Study. The journal of alternative and complementary

medicine. 2010. 16(4):341-343

Pagani D, Galliera E, Dogliotti G, De Bernardi di Valserra M et al.

Carbon Dioxide-enriched Water Inhalation in Patients with Allergic

Rhinitis and its Relationship with Nasal Fluid Cytokine/Chemokine

Release. Archives of Medical Research. 2011. 42:329-333

Passariello A, Di Costanzo M, Terrin G, Iannotti A et al. Crenotherapy

modulates the expression of proinflammatory cytokines and

immunoregulatory peptides in nasal secretions of children with

chronic rhinosinusitis. Am J Rhinol Allergy. 2012. 26:e15-9

Friedman M, Hamilton C, Samuelson CG, Maley A et al. Dead Sea

salt irrigations vs saline irrigations with nasal steroids for symptomatic

treatment of chronic rhinosinusitis: a randomized, prospective

double-blind study. Int Forum Allergy Rhinol. 2012. 2(3):252-7

M. Costantino, E. Lampa, G.Nappi. Effectiveness of sulphur spa

therapy with politzer in the treatment of rhinogenic deafness. Acta

Otorhinolaryngol Ital. 2006. 26:7-13

Costantino M. The rhinogenic deafness and SPA therapy: clinicalexperimental

study. Clin Ter. 2008. 159(5):311-5

Tozzi A , Blancasio AC, Basagni C, Ricci C et al. Prevention and cure

of rhinogenous deafness at the Thermal Baths "Bagni delle Galleraie".

J Prev Med Hyg. 2006. 47(4):146-50

Califano L, Salafia F, Mazzone S, D'Ambrosio G et al. A comparative

randomized study on the efficacy of a systemic steroid therapy vs a

thermal therapy in Otitis media with effusion in children. Minerva

Pediatr. 2014:13

Olina M, Aluffi Valletti P, Pia F, Toso A et al. Hydrological indications

in the therapy of pharyngitis. Recenti Prog Med. 2008. 99(6):314-21

Costantino M, Rossi F, Lampa E. Inhalation therapy with sulphur

water in ORL: clinical-experimental study. Clin Ter. 2003. 154(6):395-400


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