To Study the Long Term Outcome of Endoscopic Septoplasty with Microdebrider Assisted Inferior Turbinoplasty (MAIT) Versus Medial Flap Turbinoplasty (MFT)

Long‐Term Outcomes of Septoplasty With or Without Turbinoplasty: A Systematic Review

“…30 Five additional studies reported both short and long-term subjective outcomes but did not report p-values. 10,11,27,31,32…”

“…10,49,50 Of the 3,113 patients included in these 23 studies, 2,348 (75.4%) reported satisfaction and/or improvement from preoperative baseline at their latest postoperative follow-up, which averaged 27.0 months. 10,[13][14][15][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50] Of these 3,113 total subjects, 2,160 underwent septoplasty alone and the remaining 953 underwent septoplasty with turbinoplasty. When focusing solely on the 11 studies that performed septoplasty with or without turbinoplasty (i.e., studies that were not limited to septoplasty alone), 75.5% (1,427 of 1,890 subjects, 953 of whom underwent septoplasty with turbinoplasty) were satisfied and/or experienced improvement from their preoperative baseline at their latest follow-up, which averaged 27.6 months.…”

“…When focusing solely on the 11 studies that performed septoplasty with or without turbinoplasty (i.e., studies that were not limited to septoplasty alone), 75.5% (1,427 of 1,890 subjects, 953 of whom underwent septoplasty with turbinoplasty) were satisfied and/or experienced improvement from their preoperative baseline at their latest follow-up, which averaged 27.6 months. 32,38,40,[42][43][44][45][46][47][48]50 Unfortunately, studies did not report separate satisfaction rates for septoplasty alone versus septoplasty with turbinoplasty, so we are unable to report satisfaction rates specifically for septoplasty with turbinoplasty.…”

“…11,31 The four remaining studies comparing short-versus long-term results either found no significant differences between the two 30 or did not report p-values, presumably because none of their results changed substantially over time to merit statistical reporting. 10,27,32 One potential cause of long-term septoplasty outcome changes is septal re-deviation. 70,71 Lee et al reported that approximately 7% of nasal septums redeviate after septoplasty, with most re-deviations occurring 6 or more months after surgery.…”

“…However, when focusing solely on the seven studies that measured objective outcomes at various timepoints after surgery, none reported significant worsening at short-term versus long-term followup. 10,11,15,27,30,32,33 This suggests that major structural changes and/or septal re-deviations were not substantial and/or prevalent enough to affect objective outcomes for the patient population, revealing an interesting discrepancy between objective and subjective long-term outcomes in some studies. Of note, objective outcomes by Jessen and Valsamidis did not change over time, even though subjective outcomes worsened in the same patient groups.…”