Endoscopic Techniques for Nasal Septal Perforation Repair: A Systematic Review

Area of Science:

• Otolaryngology
• Minimally Invasive Surgery
• Rhinology

Background:

• Nasal septal perforations (NSPs) present surgical challenges.
• Endoscopic NSP repair (ENSPR) offers enhanced visualization and a minimally invasive approach.
• Purely endoscopic techniques demonstrate successful outcomes with low morbidity.

Approach:

• A systematic review of PubMed/MEDLINE, Cochrane, and Embase databases was performed.
• Studies focusing on purely endoscopic NSP repair were included.
• Data on patient demographics, NSP characteristics, repair strategies, and outcomes were analyzed.

Key Points:

• The review included 329 cases from 20 studies.
• Common etiologies included iatrogenic (60.0%), trauma (22.0%), and idiopathic (12.0%).
• Successful closure was achieved in 90.0% of cases, with varying success rates across single (92.9%), 2-layered (88.3%), and 3-layered (91.9%) repairs.

Conclusions:

• Endoscopic NSP repair is effective for achieving closure.
• High success rates are observed across different repair techniques.
• Further research can elucidate the impact of clinical factors and surgical methods on closure success.