Author(s): Ayushi Mehta, Prashant H Patil, Nitin R Ankle, Basavaraj P Belaldavar and Priti S Hajare

Abstract: Objective: To assess the efficacy of nasal splints in preventing synechiae formation following septoplasty through a systematic review and meta-analysis of existing studies.Methods: A comprehensive search of electronic databases was conducted to identify randomized controlled trials (RCTs), prospective, and retrospective studies that compared the use of nasal splints versus no splints in preventing synechiae formation after septoplasty. The primary outcome was the incidence of synechiae formation, and secondary outcomes included postoperative nasal patency, patient satisfaction, and complications. Data were pooled using random-effects models, and subgroup analyses were performed based on splint type and patient characteristics.Results: A total of 20 studies, a total of 2,245 patients (1,120 in the splint group and 1,125 in the control group).) were included in the meta-analysis. The use of nasal splints resulted in a significant reduction in synechiae formation, with an overall relative risk reduction of 53.8% (p< 0.001). Internal splints were more effective than external splints, showing a 58% reduction in synechiae formation compared to 33% with external splints. Patients in the splint group reported better nasal airflow and higher satisfaction rates compared to the control group (p< 0.001). No significant increase in complications was observed, although patients with nasal splints reported mild discomfort (6.2% vs. 3.5%, p = 0.08). Sensitivity analysis confirmed the robustness of these findings.Conclusion: Nasal splints are highly effective in preventing synechiae formation after septoplasty and improving post-operative nasal patency. Internal splints, particularly absorbable types, offer the greatest benefit in preventing complications and enhancing patient satisfaction. Nasal splints should be considered a beneficial adjunct for patients at higher risk for synechiae formation, particularly those with severe septal deviations or a history of prior nasal surgeries. Further research is needed to determine the optimal duration and type of splint for various patient populations.

DOI: 10.22271/27081494.2025.v7.i1c.157

Pages: 141-145 | Views: 118 | Downloads: 50

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