{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T20:09:49Z","timestamp":1787861389582,"version":"build-2784847793"},"reference-count":36,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2011,9,1]],"date-time":"2011-09-01T00:00:00Z","timestamp":1314835200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Rhinol\ufffdAllergy"],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The external approach for septoplasty is an important surgical technique to manage severe septal deviations, caudal deformities, and mid-dorsal abnormalities when a simple endonasal approach may not suffice. The procedure is longer in duration and draws on more resources than endonasal septoplasty. The outcome reporting of the external approach for septoplasty is important to provide evidence of benefit for both patients and health care providers. This study was designed to describe functional and cosmetic outcomes of the external approach for septoplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective assessment of consecutive patients undergoing the external approach for septoplasty at a tertiary center was performed. Pre- and postoperative nasal peak inspiratory flow (NPIF), symptom scores, 22-Item Sinonasal Outcome Test (SNOT-22), Nasal Obstruction Score, and Short Form 36 (SF-36) quality-of-life scores were assessed. A global Likert change scale was also used for both function and cosmesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty patients (mean age, 40 \u00b1 15.9 years; 40% women) were assessed with a mean follow-up of 12.2 \u00b1 9.5 months. Mean NPIF improved significantly from 93.3 \u00b1 34.7 to 143.0 \u00b1 44.3 (p &lt; 0.001). Nasal obstruction score improved significantly from 3.6 \u00b1 1.3 to 0.69 \u00b1 1.2 (p &lt; 0.001). SNOT-22 improved significantly from 34.1 \u00b1 17.2 to 12.7 \u00b1 14.9 (p &lt; 0.001). Ninety-six percent had subjective improvement in nasal function, and 96% had no change or improvement in cosmesis. Seventy percent improved by the minimal clinically important difference for NPIF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The external approach for septoplasty is an operation that produces significant improvements in subjective and objective nasal health measures. Although requiring greater training and operative time, it is an appropriate approach for the severely deviated nasal septum.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2500\/ajra.2011.25.3650","type":"journal-article","created":{"date-parts":[[2011,9,26]],"date-time":"2011-09-26T14:27:25Z","timestamp":1317047245000},"page":"351-357","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Functional and Cosmetic Outcomes of External Approach Septoplasty"],"prefix":"10.1177","volume":"25","author":[{"given":"P. Seamus","family":"Phillips","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, St. Vincent's Hospital, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Stow","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Mona Vale Hospital, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel G.","family":"Timperley","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, St. Vincent's Hospital, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond","family":"Sacks","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Concord Repatriation Hospital, Sydney, New South Wales, 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