DOI: 10.4103/atmr.atmr_157_24 ISSN: 3050-807X

A Systematic Review and Meta-analysis of Randomised Controlled Trials comparing the Effectiveness of Nasal Splints versus Nasal Packing

Yazeed Alasmari, Renad Mohammed Alshehri, Huda Sultan, Talal Alotaibi, Fadi Munhish, Jawaher Alrumayh, Shaden Abdullah, Rayan Fahad Z. Alshehri, Danah Albalawi, Fatema Hani Alawad, Abdullah Ahmed Alarfaj

Abstract

Background:

Nasal splints and nasal packing are commonly utilised interventions in various nasal surgeries, including septoplasty and rhinoplasty. Understanding the efficacy and potential benefits of each approach is essential for optimising patient outcomes and informing clinical practice.

Objective:

This study aims to synthesise evidence from randomised controlled trials (RCTs) to provide valuable insights into the relative effectiveness of nasal splints versus nasal packing in nasal surgery procedures.

Materials and Methods:

Data extraction included study characteristics, participant details, interventions, outcomes and funding sources. Quality assessment was conducted using the Cochrane risk of bias tool for RCTs. Statistical analyses were performed using R software, assessing heterogeneity with Cochrane Q and I² and utilising random-effects and common-effects models. Publication bias was evaluated through funnel plots and Egger’s test.

Results:

The meta-analysis demonstrated a significant positive effect of the treatment, with minimal heterogeneity among the studies. Egger’s test indicated minimal funnel plot asymmetry, suggesting that publication bias is unlikely to have substantially influenced the results.

Conclusion:

While the findings suggest a positive effect of nasal splints or packing, methodological concerns in some studies highlight the importance of rigorous evaluation and further research to enhance the reliability of findings and guide clinical practice.

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