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Nasal Septal Perforation Surgical Repair Study Methodology: A State of the Art Review
Trenton House1, Amar Miglani2, Michael J Marino2
1University of Arizona College of Medicine - Phoenix, Phoenix, Arizona, USA.
Summary
Standardizing the evaluation and reporting of nasal septal perforation (NSP) repair outcomes is crucial. This review found a lack of progress in standardization over 12 years, hindering high-quality research.
Area of Science:
- Otolaryngology
- Rhinology
- Medical Literature Analysis
Background:
- Nasal septal perforation (NSP) repair outcomes lack standardized evaluation and data reporting in existing literature.
- This heterogeneity limits evidence quality and interstudy comparisons.
Purpose of the Study:
- To quantitatively analyze trends in NSP evaluation and reporting from 2012-2024.
- To identify specific areas for improvement in research methodology and outcome assessment for NSP repair.
Main Methods:
- Comprehensive literature review of studies on NSP repair techniques published between 2012 and 2024.
- Databases searched include PubMed, Scopus, and Web of Science.
- Characterization and comparison of perforation evaluation and outcome reporting between contemporary and older study cohorts.
Main Results:
- While NSP repair outcomes are increasingly studied, significant heterogeneity persists in how perforations are evaluated and outcomes reported.
- No substantial progress towards standardization in NSP research has been observed over the past 12 years.
- Key areas needing improvement include reporting of etiology, defect size, symptomatology, and objective repair outcomes with adequate follow-up duration.
Conclusions:
- The current lack of standardized practices in NSP research impedes high-quality comparative analyses and evidence synthesis.
- Developing and adopting consensus practice guidelines is essential for standardizing the evaluation and assessment of NSP repair outcomes.
- Implementing proposed measures can enhance future research quality and advance the clinical management of nasal septal perforations.
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