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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.

International Forum of Allergy & Rhinology
|July 12, 2024
PubMed

Insights

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.

Keywords:
childrennasal obstructionnasal septal deviationnasal septoplastypediatric

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