Endoscopic Septoplasty-A Narrative Review of Outcomes, Complications and Patient-Reported Score.
| Title: | Endoscopic Septoplasty-A Narrative Review of Outcomes, Complications and Patient-Reported Score. |
|---|---|
| Authors: | Preda MA; Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; ENT Department, 'Sf. Maria' Clinical Hospital, 011192 Bucharest, Romania.; Ali Chaloob Z; ENT Department, 'Sf. Maria' Clinical Hospital, 011192 Bucharest, Romania.; Preda AA; Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; Department of Internal Medicine and Rheumatology, 'Sf. Maria' Clinical Hospital, 011192 Bucharest, Romania.; Musat GC; Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; ENT Department, 'Sf. Maria' Clinical Hospital, 011192 Bucharest, Romania.; Milea AI; Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; ENT Department, 'Sf. Maria' Clinical Hospital, 011192 Bucharest, Romania.; Tarabichi S; Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; ENT Department, 'Sf. Maria' Clinical Hospital, 011192 Bucharest, Romania.; Sarafoleanu CC; Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; ENT Department, 'Sf. Maria' Clinical Hospital, 011192 Bucharest, Romania. |
| Source: | Medicina (Kaunas, Lithuania) [Medicina (Kaunas)] 2026 Jan 09; Vol. 62 (1). Date of Electronic Publication: 2026 Jan 09. |
| Publication Type: | Journal Article; Review |
| Language: | English |
| Journal Info: | Publisher: MDPI Country of Publication: Switzerland NLM ID: 9425208 Publication Model: Electronic Cited Medium: Internet ISSN: 1648-9144 (Electronic) Linking ISSN: 1010660X NLM ISO Abbreviation: Medicina (Kaunas) Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2018- : Basel, Switzerland : MDPI; Original Publication: Kaunas : Lietuvos gydytojų sąjunga |
| MeSH Terms: | Nasal Septum*/surgery ; Nasal Septum*/abnormalities ; Endoscopy*/methods ; Endoscopy*/standards ; Endoscopy*/adverse effects ; Nasal Obstruction*/surgery ; Rhinoplasty*/methods ; Rhinoplasty*/adverse effects ; Rhinoplasty*/standards; Postoperative Complications/etiology ; Humans ; Patient Reported Outcome Measures ; Treatment Outcome ; Adult |
| Abstract: | Background: The main cause of chronic nasal obstruction in ENT practice is represented by the deviated nasal septum. Septoplasty remains the gold standard treatment, performed using either conventional or endoscopic techniques. Methods: A narrative review of the literature was conducted using PubMed and Google Scholar for studies published between May 1999 and October 2024. Eligible studies included adult patients (≥16 years) undergoing conventional or endoscopic septoplasty, with at least one reported outcome measure: NOSE, VAS, or SNOT-22 scores; operative time; or complication rates. Results: Across multiple clinical studies, both conventional and endoscopic septoplasty provided significant improvements in nasal airflow and symptom relief. Endoscopic septoplasty was consistently associated with superior intraoperative visualization, more precise correction of posterior deformities and isolated septal spurs, and lower rates of intraoperative and postoperative complications. Complication rates were low overall for both approaches. Conclusions: Current evidence supports both conventional and endoscopic septoplasty as effective treatments for nasal obstruction due to septal deviation. However, endoscopic septoplasty offers distinct advantages in terms of visualization, operative efficiency, and safety, making it an increasingly preferred technique. |
| References: | Am J Rhinol Allergy. 2016 Nov 1;30(6):436-442. (PMID: 28124656); J Craniomaxillofac Surg. 2019 Oct;47(10):1530-1534. (PMID: 31387832); Indian J Otolaryngol Head Neck Surg. 2005 Jul;57(3):240-3. (PMID: 23120179); Indian J Otolaryngol Head Neck Surg. 2014 Jun;66(2):155-61. (PMID: 24822154); Acta Otorhinolaryngol Ital. 2018 Aug;38(4):323-330. (PMID: 30197423); Eur Ann Otorhinolaryngol Head Neck Dis. 2016 Feb;133(1):43-6. (PMID: 26679230); Expert Opin Pharmacother. 2024 Oct;25(14):1943-1951. (PMID: 39344778); Cureus. 2023 May 4;15(5):e38558. (PMID: 37273365); World J Otorhinolaryngol Head Neck Surg. 2020 Apr 06;6(1):53-58. (PMID: 32426704); Ear Nose Throat J. 2021 Nov;100(9):673-678. (PMID: 32339048); Neuroradiol J. 2020 Aug;33(4):340-347. (PMID: 32193968); Plast Surg Int. 2016;2016:7089123. (PMID: 26933510); Otolaryngol Clin North Am. 2009 Apr;42(2):253-60, viii. (PMID: 19328890); Indian J Otolaryngol Head Neck Surg. 2015 Sep;67(3):248-54. (PMID: 26405659); BMC Health Serv Res. 2024 Aug 21;24(1):964. (PMID: 39169337); Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):1724-1730. (PMID: 37636711); Am J Rhinol. 2007 May-Jun;21(3):307-11. (PMID: 17621814); Otolaryngol Clin North Am. 2009 Apr;42(2):207-25, vii. (PMID: 19328887); Eur Ann Otorhinolaryngol Head Neck Dis. 2023 Sep;140(5):211-219. (PMID: 37169626); Ann Med Surg (Lond). 2023 Jun 20;85(8):4015-4025. (PMID: 37554910); J Oral Maxillofac Surg. 2014 Jan;72(1):157-63. (PMID: 24071372); BMC Med. 2020 May 1;18(1):101. (PMID: 32354362); Otolaryngol Head Neck Surg. 1999 May;120(5):678-82. (PMID: 10229592); Indian J Otolaryngol Head Neck Surg. 2009 Mar;61(1):59-65. (PMID: 23120606); Facial Plast Surg. 2004 Aug;20(3):217-21. (PMID: 15643594); Acta Med Port. 2005 Jul-Aug;18(4):249-55. (PMID: 16584656); Curr Opin Otolaryngol Head Neck Surg. 2008 Feb;16(1):26-31. (PMID: 18197018); Otolaryngol Head Neck Surg. 2004 Feb;130(2):157-63. (PMID: 14990910) |
| Contributed Indexing: | Keywords: conventional septoplasty; deviated nasal septum; endoscopic septoplasty; nasal obstruction; septoplasty |
| Entry Date(s): | Date Created: 20260128 Date Completed: 20260128 Latest Revision: 20260131 |
| Update Code: | 20260131 |
| PubMed Central ID: | PMC12843036 |
| DOI: | 10.3390/medicina62010135 |
| PMID: | 41597421 |
| Database: | MEDLINE |
Journal Article; Review