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Nasal Septal Retainer Versus Trans-Septal Suturing in Septoplasty: A Randomized Trial on Operative Time.
Chao Wang1, Liyun Ying2, Weihua Wang2
1ENT Institute and Department of Otolaryngology, EYE & ENT Hospital, Fudan University, Shanghai, China.
Ear, Nose, & Throat Journal
|February 17, 2026
Summary
The nasal septal retainer significantly reduces operative closure time in septoplasty compared to trans-septal suturing. Both methods show similar safety and patient outcomes, making the retainer an efficient alternative.
Area of Science:
- Otolaryngology
- Surgical Techniques
- Nasal Surgery
Background:
- Septoplasty is a common procedure to correct nasal obstruction.
- Traditional trans-septal suturing can be time-consuming.
- Novel techniques aim to improve operative efficiency and patient outcomes.
Purpose of the Study:
- To compare operative closure time between nasal septal retainers and trans-septal suturing.
- To evaluate early postoperative outcomes, including symptom burden and complications.
Main Methods:
- A prospective, randomized controlled trial involving 23 patients aged 18-65 with nasal obstruction.
- Patients were randomized to receive either trans-septal suturing or a nasal septal retainer after septoplasty.
- Primary outcome was operative closure time; secondary outcomes included VAS, SNOT-22 scores, and complications.
Main Results:
- Nasal septal retainer group had significantly shorter closure times (18.1s vs 763.3s; P<.001).
- The retainer group reported higher VAS scores for obstruction, facial pressure, and dysphagia (P<.05).
- No significant differences in SNOT-22 scores or complication rates were observed between groups.
Conclusions:
- Nasal septal retainer is a significantly faster technique for septoplasty closure.
- The retainer offers comparable safety and patient-reported outcomes to trans-septal suturing.
- Nasal septal retainers represent an efficient and viable alternative for septoplasty procedures.
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