Open versus Endoscopic Septoplasty Techniques: A Systematic Review and Meta-Analysis
Abstract
Background Septal deviation is a condition of high prevalence, which ranges from 22% in newborns to 90% in adults. Surgical intervention is frequently considered in the management of patients with symptoms. Although many surgeons prefer either the endoscopic or the open approach to septoplasty, there is an ongoing debate regarding comparative outcomes between the two approaches. Objective The purpose of this study was to systematically review the literature and provide pooled summary estimates to evaluate the efficacy and safety of open versus endoscopic septoplasty techniques. Methods This study was registered with PROSPERO (CRD42014010730). MEDLINE, EMBASE, Google Scholar, CINAHL, Web of Science, and The Cochrane Central Registry for Randomized Trials were searched for relevant studies by using the following keywords in varying combinations: "nasal septum," "nasal obstruction," "nasal cartilages," "nose," "nose diseases," "surgery," "nasal/septal deviation," and "septoplasty." All the studies that compared open versus endoscopic septoplasty techniques for the management of symptomatic septal deviation were considered. Two reviewers independently extracted data by using a preestablished extraction form and performed quality assessment by using the Jadad and Newcastle Ottawa Scales. Weighted pooled estimates were calculated and reported, along with relative risks and 95% confidence intervals. Results Fourteen studies met our inclusion criteria. When comparing open versus endo…
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In septoplasty, surgical techniques vary depending on the complexity of the anatomical alteration in the nasal septum.
“In septoplasty, surgical techniques vary depending on the complexity of the anatomical alteration in the nasal septum [260,261].”
From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [260]
Cites
Stewart, M. G., Smith, T. L., Weaver, E. M., Witsell, D. L., Yueh, B., Hannley, M. T., Johnson, J. T., & The Nose Study Investigators (2004) · Otolaryngology–Head and Neck Surgery · doi:10.1016/j.otohns.2003.12.004 · Cited by 514 · see citing works
METZENBAUM, M. (1929) · Archives of Otolaryngology - Head and Neck Surgery · doi:10.1001/archotol.1929.00620030300008 · Cited by 175 · see citing works
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Position Paper on Nasal Obstruction: Evaluation and Treatment
SEAIC Rhinoconjunctivitis Committee & SEORL Rhinology, A., Valero, A., Navarro, A., del Cuvillo, A., Alobid, I., Benito, Jr., Colás, C., de los Santos, G., Fernández Liesa, R., García-Lliberós, A., et al. (2018) · Journal of Investigational Allergology and Clinical Immunology · doi:10.18176/jiaci.0232 · Cited by 76 · see citing works
Shah, J., Roxbury, C. R., & Sindwani, R. (2018) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2018.05.007 · Cited by 51 · see citing works
- Authors
- Hong, C. J., Monteiro, E., Badhiwala, J., Lee, J., de Almeida, J. R., Vescan, A., & Witterick, I. J.
- Affiliations
- University of Ottawa (CA)
- University of Toronto (CA)
- Department of Otolaryngology—Head & Neck Surgery, University of Toronto, Toronto, Ontario, Canada
- Corresponding author
- Monteiro, Eric
- Venue
- American Journal of Rhinology & Allergy
- Publisher
- SAGE Publications
- Published
- 2016-11
- Volume
- 30
- Issue
- 6
- Pages
- 436-442
- ISSN
- 1945-8924 (ISSN-L)
- 1945-8932
- OpenAlex
- W2553198016
- Cited by
- 49
- References
- 2
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 4 · 2023: 6 · 2022: 7 · 2021: 8 · 2020: 4 · 2019: 3 · 2018: 4 · 2017: 2 · 2016: 1
- FWCI
- 0.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Rhinology and Allergy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
- Health Sciences › Medicine › Surgery › Head and Neck Surgical Oncology
- Keywords
- septoplasty, endoscopic septoplasty, septal deviation, nasal obstruction, postoperative complications, postoperative symptoms, headache, surgical technique comparison
- MeSH terms
- Adult, Animals, Endoscopy, Humans, Nasal Septum, Nose Diseases, Quality of Life, Rhinoplasty, Treatment Outcome, Plastic Surgery Procedures
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