Effectiveness of septal swell body reduction for patients with nasal airway obstruction: A systemic review and meta-analysis.

IF 2.9 3区医学 Q1 OTORHINOLARYNGOLOGY

Clinical and Experimental Otorhinolaryngology Pub Date : 2025-01-15 DOI:10.21053/ceo.2024.00341

Ji-Sun Kim, Gulnaz Stybayeva, Se Hwan Hwang

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引用次数: 0

Abstract

Background: The septal swell body (SSB), a distinct anatomical structure located in the anterior nasal septum, has been recognized as a significant contributor to nasal obstruction, impacting airflow dynamics and nasal resistance. This meta-analysis evaluated the impact of septal swell body volume reduction (SSBVR).

Methods: A systematic review of studies from PubMed, SCOPUS, Embase, Web of Science, and Cochrane databases was conducted through October 2024. Outcomes included changes in nasal obstruction scores, cross-sectional area, and nasal airway resistance pre- and post-SSBVR. Standardized mean differences (SMDs) were calculated, and the effectiveness of SSBVR combined with turbinate surgery was compared to turbinate surgery alone.

Results: Seven studies involving 232 patients were analyzed. SSBVR significantly improved crosssectional area (SMD = -1.05, 95% CI [-1.88; -0.21]) and nasal airway resistance (SMD = -0.67, 95% CI [-0.89; -0.45]), while nasal obstruction scores demonstrated significant improvements over up to 12 months (SMD = 2.54, 95% CI [1.81; 3.26]). The addition of SSBVR to turbinate surgery resulted in greater improvement in nasal obstruction scores (SMD = 0.47, 95% CI [0.24; 0.70]) compared to turbinate surgery alone, though no significant differences were observed in crosssectional area or nasal airway resistance. Subgroup analyses revealed time-dependent improvements in nasal obstruction scores and variability in effectiveness based on treatment modality.

Conclusion: : SSBVR significantly improves nasal obstruction and airflow metrics, with added benefits when combined with turbinate surgery. Further randomized trials are warranted to validate these findings and optimize treatment strategies.

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鼻中隔肿胀体缩小术治疗鼻气道梗阻的有效性：一项系统回顾和荟萃分析。

背景：鼻中隔肿胀体（SSB）是位于鼻中隔前部的一种独特的解剖结构，已被认为是鼻塞的重要因素，影响气流动力学和鼻阻力。本荟萃分析评估了间隔肿胀体体积减小（SSBVR）的影响。方法：对PubMed、SCOPUS、Embase、Web of Science和Cochrane数据库的研究进行系统综述，截止到2024年10月。结果包括鼻塞评分、横截面积和鼻气道阻力在ssbvr前后的变化。计算标准化平均差（SMDs），比较SSBVR联合鼻甲手术与单独鼻甲手术的疗效。结果：分析了7项涉及232例患者的研究。SSBVR显著改善横截面积(SMD = -1.05, 95% CI [-1.88；-0.21])和鼻气道阻力(SMD = -0.67, 95% CI [-0.89；-0.45])，而鼻塞评分在长达12个月内表现出显著改善(SMD = 2.54, 95% CI [1.81；3.26])。在鼻甲手术中加入SSBVR可显著改善鼻塞评分(SMD = 0.47, 95% CI [0.24；0.70])与单独鼻甲手术相比，但在横截面积或鼻气道阻力方面没有观察到显著差异。亚组分析显示鼻塞评分的时间依赖性改善和基于治疗方式的有效性可变性。结论：SSBVR可显著改善鼻塞和气流指标，与鼻甲手术联合使用可获得更多益处。需要进一步的随机试验来验证这些发现并优化治疗策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical and Experimental Otorhinolaryngology 医学-耳鼻喉科学

CiteScore

4.90

自引率

6.70%

发文量

审稿时长

6-12 weeks

期刊介绍： Clinical and Experimental Otorhinolaryngology (Clin Exp Otorhinolaryngol, CEO) is an international peer-reviewed journal on recent developments in diagnosis and treatment of otorhinolaryngology-head and neck surgery and dedicated to the advancement of patient care in ear, nose, throat, head, and neck disorders. This journal publishes original articles relating to both clinical and basic researches, reviews, and clinical trials, encompassing the whole topics of otorhinolaryngology-head and neck surgery. CEO was first issued in 2008 and this journal is published in English four times (the last day of February, May, August, and November) per year by the Korean Society of Otorhinolaryngology-Head and Neck Surgery. The Journal aims at publishing evidence-based, scientifically written articles from different disciplines of otorhinolaryngology field. The readership contains clinical/basic research into current practice in otorhinolaryngology, audiology, speech pathology, head and neck oncology, plastic and reconstructive surgery. The readers are otolaryngologists, head and neck surgeons and oncologists, audiologists, and speech pathologists.