{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T20:38:16Z","timestamp":1793911096997,"version":"4.8.0"},"reference-count":15,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100019978","name":"Shanghai Pudong New Area Health Commission","doi-asserted-by":"publisher","award":["202150005"],"award-info":[{"award-number":["202150005"]}],"id":[{"id":"10.13039\/501100019978","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To compare the operative closure time and early postoperative outcomes between nasal septal retainer and trans-septal suturing techniques in patients undergoing septoplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This single-center, prospective, open-label, randomized controlled trial included patients aged 18 to 65\u2009years with nasal obstruction. Participants were randomized to trans-septal suturing or nasal septal retainer after septoplasty. The primary outcome was operative closure time. Secondary outcomes included symptom burden assessed by visual analog scale (VAS) at 48\u2009hours postoperatively, Sino-Nasal Outcome Test-22 (SNOT-22) scores at baseline, 1\u2009week, and 3\u2009months, and postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 23 patients were randomized (11 to trans-septal suturing and 12 to nasal septal retainer). Baseline characteristics were comparable between groups. The mean closure time was significantly shorter in the septal retainer group than in the trans-septal suturing group (18.1\u2009\u00b1\u20091.5\u2009seconds vs 763.3\u2009\u00b1\u200959.9\u2009seconds;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001). The nasal septal retainer group reported significantly higher VAS scores for nasal obstruction (3.83\u2009\u00b1\u20091.34 vs 1.91\u2009\u00b1\u20091.04), facial pressure (2.33\u2009\u00b1\u20091.30 vs 0.27\u2009\u00b1\u20090.65), and dysphagia (2.14\u2009\u00b1\u20091.98 vs 0.00\u2009\u00b1\u20090.00) compared to the trans-septal suturing group (all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.05). No significant differences were observed in SNOT-22 scores or complication rates during follow-up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The nasal septal retainer significantly reduced operative closure time compared with trans-septal suturing, with comparable safety profiles and similar patient-reported outcomes at 1\u2009week and 3\u2009months postoperatively, suggesting that it may serve as a reasonable and efficient alternative to trans-septal suturing in septoplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trial Registry identifier:<\/jats:title>\n                    <jats:p>ChiCTR2300073690.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01455613261423345","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T04:52:56Z","timestamp":1771303976000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Nasal Septal Retainer Versus Trans-Septal Suturing in Septoplasty: A Randomized Trial on Operative Time"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5508-1811","authenticated-orcid":false,"given":"Chao","family":"Wang","sequence":"first","affiliation":[{"name":"ENT Institute and Department of Otolaryngology, EYE &amp; ENT Hospital, Fudan University, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2438-3077","authenticated-orcid":false,"given":"Liyun","family":"Ying","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2727-1081","authenticated-orcid":false,"given":"Weihua","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,16]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30684"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2017.31.4436"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2009.05.012"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000002805"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otorri.2020.09.001"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-017-4709-2"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21209"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-019-05455-z"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)30354-X"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2023-075445"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-018-4998-0"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdsr.2009.03.004"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2021.05.013"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-022-10449-x"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-021-06854-x"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613261423345","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/01455613261423345","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613261423345","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:39:32Z","timestamp":1777401572000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/01455613261423345"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,16]]},"references-count":15,"alternative-id":["10.1177\/01455613261423345"],"URL":"https:\/\/doi.org\/10.1177\/01455613261423345","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,16]]},"article-number":"01455613261423345"}}