Cirurgia endoscópica endonasal guiada por imagem em pacientes com rinossinusite crônica: uma revisão sistemática e meta-análise

Abstract

Objective: This work aims to compare quality of life and complication of endoscopic sinus surgery (ESS) with and without image guided surgery (IGS) in patients with chronic rhinosinusitis (CRS). Data Sources: PubMed, Embase, Scopus, Web of Science, Scielo, Cochrane Central Register of Controlled Trials, LILACS, and Clinicaltrials.gov. Review Methods: A search strategy was used to retrieve clinical trials comparing quality of life and complication of ESS with and without IGS from databases. Two independent authors screened and selected the articles by title, abstract and full text to meet eligibility criteria. Data synthesis was being performed using the Review Manager Software V.5.4.1. Preferred Reported Items for Systematic Review and MetaAnalysis was followed. The Grading of Recommendation Assessment, Development, and Evaluation method evaluated the strength of the evidence. Results: 3.281 articles were retrieved by the search strategy from the databases. Six studies met the inclusion criteria and five could be combined by meta-analysis. IGS showed improved efficiency in opening diseased paranasal sinuses compared with conventional ESS (RR:0.19; 95% confidence interval [CI], 0.04-0.85; p = 0.03). There is a trend in reduction of complications with IGS, although it did not reach statistical significance. Conclusion: IGS is an important tool that helps improve results and possibly increase safety and quality of life for ESS in patients with CRS.