{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T17:23:27Z","timestamp":1778174607931,"version":"3.51.4"},"reference-count":48,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T00:00:00Z","timestamp":1691366400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the efficacy and safety of macrolide antibiotics therapy in patients with chronic rhinosinusitis (CRS) receiving endoscopic sinus surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources<\/jats:title><jats:p>PubMed, Web of Science, Embase, and Cochrane Library.<\/jats:p><\/jats:sec><jats:sec><jats:title>Review Methods<\/jats:title><jats:p>The electronic databases were comprehensively searched on June 2, 2022, for randomized controlled trials on macrolide antibiotics in the treatment of patients undergoing CRS endoscopic surgery. The primary outcome measures were the sinonasal outcome test (SNOT) score and the visual analog scale (VAS) score. The secondary outcome measures were the nasal endoscopy score (NES), the sinus computed tomography score, and adverse events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 8 studies were included, involving 606 patients who used macrolide for a long time. Meta\u2010analysis showed that no significant difference was observed in SNOT (standardized mean difference [SMD]\u2009=\u2009\u22120.13; 95% confidence interval [CI]: \u22120.38 to 0.13, <jats:italic>I<\/jats:italic><jats:sup><jats:italic>2<\/jats:italic><\/jats:sup>\u2009=\u20090%) and VAS (SMD\u2009=\u2009\u22120.10; 95% CI, \u22120.88 to 0.68, <jats:italic>I<\/jats:italic><jats:sup><jats:italic>2<\/jats:italic><\/jats:sup>\u2009=\u200981%) between the macrolide and placebo groups. However, macrolide outperformed the placebo in improving NES (SMD\u2009=\u2009\u22120.32; 95% CI, \u22120.62 to \u22120.03, <jats:italic>I<\/jats:italic><jats:sup><jats:italic>2<\/jats:italic><\/jats:sup>\u2009=\u200921%). The use of macrolide did not increase the incidence of adverse events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Long\u2010term use of macrolide after CRS surgery may not significantly improve the quality of life and disease severity of the patients but may play a role in improving postoperative NES in patients with CRS. There is still no sufficient evidence to determine whether the disease phenotype of CRS or the patient's race will affect the efficacy of long\u2010term use of macrolide after CRS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.461","type":"journal-article","created":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T04:49:06Z","timestamp":1691383746000},"page":"1424-1435","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Systematic Review and Meta\u2010analysis: Macrolide in the Treatment of Chronic Rhinosinusitis After Endoscopic Sinus Surgery"],"prefix":"10.1002","volume":"169","author":[{"given":"Fu","family":"Shu","sequence":"first","affiliation":[{"name":"College of Traditional Chinese Medicine Chongqing Medical University  Chongqing People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chan\u2010Xiu","family":"Li","sequence":"additional","affiliation":[{"name":"Graduate 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