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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
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Postoperative Outcomes in Pediatric Septoplasty
Sarah Benyo1, Annie E Moroco2, Robert A Saadi3
1Head and Neck Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.
The Annals of Otology, Rhinology, and Laryngology
|October 13, 2022
Summary
Pediatric septoplasty for deviated nasal septum is generally safe, with few complications. Asthma and higher BMI are risk factors for adverse outcomes in children undergoing this procedure.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Health Outcomes Research
Background:
- Septoplasty is a common surgical procedure for pediatric deviated nasal septum.
- Understanding risk factors and complications is crucial for optimizing patient care.
Purpose of the Study:
- To identify risk factors and perioperative morbidity in pediatric patients undergoing septoplasty.
- To analyze outcomes from a large national pediatric surgical database.
Main Methods:
- Retrospective query of the American College of Surgeons National Surgical Quality Improvement Program Pediatric (NSQIP-P) database.
- Inclusion of patients who underwent septoplasty (CPT 30520) for deviated nasal septum (ICD J34.2) between 2018-2019.
- Analysis of demographics, comorbidities, surgical characteristics, and postoperative outcomes.
Main Results:
- 729 pediatric patients were identified; median age was 15.8 years.
- Overall postoperative complications were rare (0.6%), including readmission (0.4%).
- Asthma history (P=.035) and BMI (P=.028) were significant risk factors for complications.
Conclusions:
- 30-day postoperative complications after pediatric septoplasty are infrequent.
- Asthma and elevated BMI are identified risk factors for adverse outcomes.
- Further investigation into age, anatomy, and surgical technique is warranted.
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