Septoplasty is one of the commonest rhinological surgeries performed. With the advent of minimally invasive surgical concepts, endoscopic targeted septoplasty was introduced. This study aimed to compare the complications and outcomes between endoscopic septoplasty and conventional septoplasty by a PRISMA analysis. The authors included 28 studies with a total of 2055 patients. Although the quality of the studies was moderate to low, there were some interesting results. The overall operative time was similar between both groups, there was a lower risk of persistent obstruction and complications after endoscopic septoplasty but there were no significant differences in the overall NOSE scores between both groups. The authors conclude that both techniques give adequate results but that the choice should be individualised for each patient. They also recommend (like in most ENT-centred studies) more rigorous properly designed studies to address this issue.
Septoplasty revisited
Reviewed by Badr Eldin Mostafa
The comparison of endoscopic septoplasty and conventional septoplasty : a PRISMA analysis.
CONTRIBUTOR
Badr Eldin Mostafa
Ain-Shams Faculty of Medicine, Almaza , Heliopolis, Egypt.
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