Complementary and Alternative Medicine in Otolaryngology

Asher, Benjamin F.; Seidman, Michael D.; Snyderman, Carl H.

doi:10.1097/00005537-200108000-00013

Cited by 27 publications

(17 citation statements)

References 51 publications

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“…13 There is an increasing demand for rigorous integrative medicine data and clinical trials in cancer in order for physicians to provide better recommendations to their patients. 14 …”

Section: Discussionmentioning

confidence: 99%

Integrative Medicine in Head and Neck Cancer

Matovina

Birkeland

Zick

et al. 2016

Otolaryngol.--head neck surg.

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Objective Complementary and alternative medicine (CAM), or integrative medicine, has become increasingly popular among patients with head and neck cancer. Despite its increasing prevalence, many patients feel uncomfortable discussing such therapies with their physicians, and many physicians are unaware and underequipped to evaluate or discuss their use with patients. The aim of this manuscript is to use recent data to outline the decision-making inherent to integrative medicine utilization among patients with head and neck cancer, to discuss the ethical implications inherent to balancing integrative and conventional approaches to treatment, and to highlight available resources to enhance head and neck cancer providers’ understanding of integrative medicine. Data Sources Randomized controlled trials involving integrative medicine or CAM treatment for cancer patients. Review Methods Trials were drawn from a systematic PubMed database search categorized into cancer prevention, treatment, and symptom management. Conclusions Integrative medicine is gaining popularity for the management of cancer and is most commonly used for symptom management. A number of randomized controlled trials provide data to support integrative therapies, yet physicians who treat head and neck cancer may be faced with ethical dilemmas and practical barriers surrounding incorporation of integrative medicine. Implications for Practice In the management of head and neck cancer, there is an increasing demand for awareness of, dialogue about, and research evaluating integrative medicine therapies. It is important for otolaryngologists to become aware of integrative therapy options, their risks and benefits, and resources for further information in order to effectively counsel their patients.

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“…13 There is an increasing demand for rigorous integrative medicine data and clinical trials in cancer in order for physicians to provide better recommendations to their patients. 14 …”

Section: Discussionmentioning

confidence: 99%

Integrative Medicine in Head and Neck Cancer

Matovina

Birkeland

Zick

et al. 2016

Otolaryngol.--head neck surg.

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“…Alternative therapies mentioned in previous review articles include: nutritional supplements, herbal treatments, candles alight in the ear, warm air blown towards the tympanic membrane from fried bananas, leeches behind the ear, hypnotherapy, yoga, t'ai chi, homeopathy, acupuncture, cotton with aquavit in the ear, reflex-zone therapy, ultrasound, electromagnetic, laser and vibratory stimulation therapy (9)(10)(11).…”

Section: Methodsmentioning

confidence: 99%

A review of alternative treatments for tinnitus

Meehan

Eisenhut²,

Stephens

2004

Audiological Medicine

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Meehan T, Eisenhut M, Stephens D. A Review of Alternative Treatments for Tinnitus. Audiological Medicine 2004; 2: 74-82.According to a recent review of 69 randomised controlled trials of tinnitus treatment, none of the conventional methods was considered well established in terms of providing replicable long-term reduction of tinnitus impact in excess of placebo effects. The search for new, more effective treatments continues and many patients have turned their attention to complementary treatments. In this review, we have summarised the evidence available from 23 randomised placebo-controlled trials on the effectiveness of alternative treatments for tinnitus including Ginkgo biloba, acupuncture, laser treatment, ultrasound, ear-canal magnets, electromagnetic therapy, homeopathy and hypnotherapy. Our review has excluded treatments which cannot be placebo controlled like yoga, t'ai chi and various forms of psychological treatment such as meditation which could also have significant benefits for patients. Some subjective beneficial effects were found for hypnotherapy

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“…[3][4][5] However, this satisfaction was not always dependent on improvements in pre- senting complaints of patients. There is little scientific evidence to support the claim of effectiveness of alternative medicine beyond the benefits obtained through the placebo effect, cognitive dissonance, and the natural resolution of disease.…”

Section: Commentmentioning

confidence: 98%

“…There is little scientific evidence to support the claim of effectiveness of alternative medicine beyond the benefits obtained through the placebo effect, cognitive dissonance, and the natural resolution of disease. [3][4][5] However, the attraction for complementary medicine may include the relationship patients have with their practitioners, the way in which their illness is explained, and the environment in which treatment is given. In addition, the misconception that CAM is safer than conventional medicine also plays a role.…”

Section: Commentmentioning

confidence: 99%

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Choanal Atresia

Tseng

Tsai²,

Chen³

et al. 2003

Arch Otolaryngol Head Neck Surg

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The use of complementary and alternative medicine (CAM) is common among patients with chronic, long-standing nasal disease. Complications resulting from inappropriate CAM practices are sometimes reported, but serious complications such as choanal atresia and stenosis are rare. We report a case of choanal atresia and stenosis due to herbal drug (ie, chemical) cauterization of the nasal cavity in a 39-year-old man. We reviewed the literature on why patients previously given conventional treatment seek alternative therapies. The patient underwent surgical intervention to relieve choanal atresia and stenosis. The postoperative course was unremarkable, and follow-up for 1 year revealed no evidence of restenosis. Choanal atresia and stenosis resulting from CAM treatment are rare. Otolaryngologists should be aware of possible complications occurring in patients receiving such treatments.

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Complementary and Alternative Medicine in Otolaryngology

Cited by 27 publications

References 51 publications

Integrative Medicine in Head and Neck Cancer

Integrative Medicine in Head and Neck Cancer

A review of alternative treatments for tinnitus

Choanal Atresia

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