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Updated: Jun 21, 2025

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
American Rhinologic Society Expert Practice Statement: Indications and Recommendations for Septoplasty in Children
Austin S Rose1, Chadi A Makary2, Zachary M Soler3
1Department of Otolaryngology-Head & Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
This expert practice statement offers evidence-based recommendations for pediatric septoplasty, covering indications, safety, efficacy, timing, and techniques. It provides guidance for surgeons on best practices in pediatric nasal airway surgery.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Rhinology
Background:
- Pediatric septoplasty is a common procedure with evolving indications and techniques.
- Evidence-based guidance is needed for optimal patient care and surgical outcomes.
- The American Rhinologic Society (ARS) developed this expert practice statement (EPS).
Purpose of the Study:
- To provide evidence-based consensus statements and recommendations for pediatric septoplasty.
- To address key aspects including indications, safety, efficacy, timing, quality of life, and surgical techniques.
- To guide clinicians in the management of pediatric nasal obstruction.
Main Methods:
- Development of the EPS followed established ARS methodology and approval processes.
- A modified Delphi approach was utilized to achieve consensus.
- Key topics included indications, safety, efficacy, timing, quality of life instruments, and surgical techniques.
Main Results:
- Six consensus statements were developed regarding pediatric septoplasty.
- Five of the six statements reached consensus among the expert panel.
- One statement did not achieve consensus, highlighting areas for further investigation.
Conclusions:
- The EPS provides summarized evidence and recommendations for pediatric septoplasty.
- The statement addresses critical areas for surgical decision-making and patient management.
- Future research needs are identified to further refine best practices in pediatric septoplasty.
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