Comparison on the Effectiveness and Safety of Transseptal Suturing Versus Intranasal Splints After Septoplasty: A Systematic Review and Meta-analysis

Background The application of transseptal suturing as an alternative to intranasal splints in preventing postoperative complications, such as synechia, and maintaining nasal septal stability following Septoplasty, remains controversial. This meta-analysis aims to systematically compare the effective...

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Bibliographic Details
Published in:Aesthetic plastic surgery 2024-11, Vol.48 (21), p.4323-4332
Main Authors: Aldhwaihy, Lulu, Alhazzani, Hassan, Alkarzae, Mohammed
Format: Article
Language:English
Subjects:
Humans
Medicine
Medicine & Public Health
Meta-analysis
Nasal Septum - surgery
Otorhinolaryngology
Plastic Surgery
Postoperative Complications - epidemiology
Postoperative Complications - prevention & control
Randomized Controlled Trials as Topic
Review
Rhinoplasty - adverse effects
Rhinoplasty - methods
Splints
Suture Techniques
Sutures
Treatment Outcome
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Summary:Background The application of transseptal suturing as an alternative to intranasal splints in preventing postoperative complications, such as synechia, and maintaining nasal septal stability following Septoplasty, remains controversial. This meta-analysis aims to systematically compare the effectiveness and safety of transseptal suturing with intranasal splints after Septoplasty. Methods A comprehensive systematic literature review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted. The review included randomized clinical trials (RCTs) identified through a database search in July 2023, comparing postoperative complications following Septoplasty with the transseptal suturing technique versus intranasal splints. Results Eight published RCTs involving 570 participants were included in the meta-analysis. The analysis revealed no significant difference between the transseptal suturing and intranasal splint techniques following Septoplasty in postoperative complications, including postoperative hemorrhage, synechia, septal hematoma, septal perforation, local infection, crusting, and residual septal deviation. Conclusions Transseptal suturing can be applied following Septoplasty as an alternative to intranasal splints without increasing the rate of postoperative complications. Level of Evidence I This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266
ISSN:0364-216X
1432-5241
1432-5241
DOI:10.1007/s00266-024-04066-2