Trans-septal suturing versus intranasal splinting following septoplasty: a systematic review and meta-analysis
Do Hyun Kim, David W. Jang, Sehwan HwangAbstract
Objectives
To compare the efficacy and safety of trans-septal suturing versus intranasal splinting after septoplasty through a systematic review and meta-analysis, focusing on post-operative complications and patient-centred outcomes.
Methods
Comparative studies directly evaluating both techniques were included. Pooled odds ratios and standardised mean differences with 95 per cent confidence intervals were calculated.
Results
Seventeen studies involving 1502 patients were included. No significant differences were found in adhesion, crust formation, septal haematoma, septal perforation or post-operative bleeding. Trans-septal suturing significantly reduced post-operative pain (standardised mean differences, −1.09; 95 per cent confidence intervals, −1.68 to −0.49) and sleep disturbance (standardised mean differences, −0.32; 95 per cent confidence intervals, −0.60 to −0.05) but increased operative time (standardised mean differences, 0.65; 95 per cent confidence intervals, 0.19–1.10). Infection and epiphora tended to be less frequent with trans-septal suturing.
Conclusion
Both techniques provide comparable protection against major post-operative complications, but trans-septal suturing improves post-operative comfort at the cost of a modest increase in operative time.