Efficacy and safety of endoscopic septoplasty for treating nasal septal deviations compared with conventional septoplasty: A systematic review and meta‐analysis

Abstract

Objectives: We assessed the effects and safety of endoscopic septoplasty in patients with nasal septal deviations (NSD), compared with those of conventional septoplasty.Design and Setting: Systematic review and meta-analysis.Participants: Patients who have undergone various endoscopic septoplasty procedure, such as hemitransfixion incision, incision at the deviated site and Killian incision, and conventional septoplasty.Main Outcome Measures: Six databases were searched up to April 2022. We analysed studies comparing improvements in NSD-related symptoms and post-operative complications between endoscopic septoplasty and control (conventional septoplasty) groups.Results: A total of 38 articles with 2733 individuals were included. There were no significant differences in operative time (À0.4354, 95% confidence interval [CI: À1.1670; 0.2962]) or intra-operative bleeding (À1. 3011 [À2.8003; 0.1981]) between the two groups. In the endoscopic septoplasty group, the change in nasal obstruction symptom evaluation score (9.5143 [5.4613; 13.5674] was statistically higher and the incidence of mucosal tearing (0.2766 [0.1889; 0.4049]) was lower. The incidences of full relief from symptoms such as headache (2.1996 [1.6896; 2.8634]), hyposmia (4.4468 [2.6806; 7.3767]), nasal obstruction (5.9871 [4.3292; 8.2800]), post-nasal drip (4.7241 [3.4086; 6.5472]) and snoring (2.9980 [1.2622; 7.1211]) were significantly higher in the endoscopic septoplasty group. In terms of post-operative endoscopic findings, epistaxis (0.3043 [0.1969; 0.4703]), hematoma (0.2022 [0.0785; 0.5213]), nasal obstruction 0.3373 [0.1334; 0.8527]), residual posterior septal devia-

Endoscopic Surgical Approach for a Mesiodens in the Nasal Cavity: A Rare Phenomenon

“…The access through the nostrils prevents the removal of palatal or buccal bone before accessing the mesiodens, and endoscopy can provide a direct view of the surgical site, good illumination, and a precise dissection to remove the nasal mesiodens. It improved accessibility to remote areas and magnification while allowing limited intranasal incision and elevation of small flaps, without compromising adequate exposure of the surgical site and the buccal or palatal area [23].…”

“…Endoscopic techniques can be challenging because of the frequent staining of the endoscope lens by blood from the incision site and difficulty in navigating the nasal passages. It may also be technically more challenging than traditional methods, and for this reason, both a high level of experience and good surgical skills of the operator are required [23].…”