{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:10:10Z","timestamp":1790727010165,"version":"4.1.0"},"reference-count":86,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T00:00:00Z","timestamp":1700611200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T00:00:00Z","timestamp":1700611200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Septoplasty is used to correct nasal obstruction from nasal septum deviation. However, the long\u2010term efficacy of septoplasty is unclear, and no literature reviews have examined long\u2010term outcomes of septoplasty with or without turbinate modification. This systematic review aimed to evaluate the long\u2010term efficacy of septoplasty with or without turbinate modification in improving nasal obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>PubMed, EMBASE, Cochrane CENTRAL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review of the literature was conducted using the aforementioned databases. Studies reporting outcomes 12+ months after functional septoplasty with or without turbinate surgery for nasal obstruction were included. Septorhinoplasties, concurrent sinus surgery, pediatric studies, and studies where septoplasty was performed for indications other than nasal obstruction were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After screening, 35 studies with 4,432 patients were included. Mean weighted post\u2010operative follow\u2010up time was 29.1 months (range 12\u2013120 months). All studies reported significant improvement in subjective and objective outcomes at long\u2010term follow\u2010up compared to baseline. When comparing short\u2010term (&lt;12 months) to long\u2010term (\u226512 months) outcomes, four studies noticed that subjective outcomes worsened slightly over time, but no study found a significant change in objective outcomes over time. In addition, 23 studies reported patient satisfaction and\/or improvement rates, with 75.4% (2,348\/3,113) of patients expressing satisfaction\/improvement at an average of 27.0 months after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Overall, septoplasty with or without turbinate modification shows significant improvement in obstructive symptoms at long\u2010term follow\u2010up per both objective and subjective measures. Whether outcomes may worsen slightly over time remains indeterminate based on mixed results in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      N\/A\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 134:2525\u20132537, 2024\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.31193","type":"journal-article","created":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T19:21:49Z","timestamp":1700767309000},"page":"2525-2537","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["<scp>Long\u2010Term<\/scp>\n                    Outcomes of Septoplasty With or Without Turbinoplasty: A Systematic 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