Clinical Consensus Statement

Septoplasty with or without Inferior Turbinate Reduction

Joseph K. Han, Scott P. Stringer, Richard M. Rosenfeld, Sanford M. Archer, Dole P. Baker, Seth M. Brown, David R. Edelstein, Stacey T. Gray, Timothy S. Lian, Erin J. Ross, Allen M. Seiden, Michael Setzen, Travis Tate Tollefson, P. Daniel Ward, Kevin C. Welch, Sarah K. Wise, Lorraine C. Nnacheta

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Objective To develop a clinical consensus statement on septoplasty with or without inferior turbinate reduction. Methods An expert panel of otolaryngologists with no relevant conflicts of interest was assembled to represent general otolaryngology and relevant subspecialty societies. A working definition of septoplasty with or without inferior turbinate reduction and the scope of pertinent otolaryngologic practice were first established. Patients 18 years and older were defined as the targeted population of interest. A modified Delphi method was then used to distill expert opinion into clinical statements that met a standardized definition of consensus. Results The group defined nasal septoplasty as a surgical procedure designed to correct a deviated nasal septum for the purpose of improving nasal function, form, or both. After 2 iterative Delphi method surveys, 20 statements met the standardized definition of consensus, while 13 statements did not. The clinical statements were grouped into 8 categories for presentation and discussion: (1) definition and diagnosis, (2) imaging studies, (3) medical management prior to septoplasty, (4) perioperative management, (5) surgical considerations, (6) adjuvant procedures, (7) postoperative care, and (8) outcomes. Conclusion This clinical consensus statement was developed by and for otolaryngologists and is intended to promote appropriate and, when possible, evidence-based care for patients undergoing septoplasty with or without inferior turbinate reduction. A complete definition of septoplasty with or without inferior turbinate reduction was first developed, and additional statements were subsequently produced and evaluated addressing diagnosis, medical management prior to septoplasty, and surgical considerations, as well as the appropriate role of perioperative, postoperative, and adjuvant procedures, in addition to outcomes. Additionally, a series of clinical statements were developed, such as "Computed tomography scan may not accurately demonstrate the degree of septal deviation," "Septoplasty can assist delivery of intranasal medications to the nasal cavity," "Endoscopy can be used to improve visualization of posterior-based septal deviation during septoplasty," and "Quilting sutures can obviate the need for nasal packing after septoplasty." It is anticipated that the application of these principles will result in decreased variations in the care of septoplasty patients and an increase in the quality of care.

Original languageEnglish (US)
Pages (from-to)708-720
Number of pages13
JournalOtolaryngology - Head and Neck Surgery (United States)
Volume153
Issue number5
DOIs
StatePublished - Nov 1 2015

Fingerprint

Turbinates
Nose
Postoperative Care
Patient Care
Nasal Septum
Conflict of Interest
Quality of Health Care
Nasal Cavity
Otolaryngology
Expert Testimony
Sutures
Endoscopy
Tomography
Population
Otolaryngologists

Keywords

  • Delphi method
  • nasal
  • nasal septum
  • nose
  • septal surgery
  • septoplasty
  • septorhinoplasty
  • septum surgery
  • turbinate surgery
  • turbinates
  • turbinoplasty

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Han, J. K., Stringer, S. P., Rosenfeld, R. M., Archer, S. M., Baker, D. P., Brown, S. M., ... Nnacheta, L. C. (2015). Clinical Consensus Statement: Septoplasty with or without Inferior Turbinate Reduction. Otolaryngology - Head and Neck Surgery (United States), 153(5), 708-720. https://doi.org/10.1177/0194599815606435

Clinical Consensus Statement : Septoplasty with or without Inferior Turbinate Reduction. / Han, Joseph K.; Stringer, Scott P.; Rosenfeld, Richard M.; Archer, Sanford M.; Baker, Dole P.; Brown, Seth M.; Edelstein, David R.; Gray, Stacey T.; Lian, Timothy S.; Ross, Erin J.; Seiden, Allen M.; Setzen, Michael; Tollefson, Travis Tate; Ward, P. Daniel; Welch, Kevin C.; Wise, Sarah K.; Nnacheta, Lorraine C.

In: Otolaryngology - Head and Neck Surgery (United States), Vol. 153, No. 5, 01.11.2015, p. 708-720.

Research output: Contribution to journalArticle

Han, JK, Stringer, SP, Rosenfeld, RM, Archer, SM, Baker, DP, Brown, SM, Edelstein, DR, Gray, ST, Lian, TS, Ross, EJ, Seiden, AM, Setzen, M, Tollefson, TT, Ward, PD, Welch, KC, Wise, SK & Nnacheta, LC 2015, 'Clinical Consensus Statement: Septoplasty with or without Inferior Turbinate Reduction', Otolaryngology - Head and Neck Surgery (United States), vol. 153, no. 5, pp. 708-720. https://doi.org/10.1177/0194599815606435
Han, Joseph K. ; Stringer, Scott P. ; Rosenfeld, Richard M. ; Archer, Sanford M. ; Baker, Dole P. ; Brown, Seth M. ; Edelstein, David R. ; Gray, Stacey T. ; Lian, Timothy S. ; Ross, Erin J. ; Seiden, Allen M. ; Setzen, Michael ; Tollefson, Travis Tate ; Ward, P. Daniel ; Welch, Kevin C. ; Wise, Sarah K. ; Nnacheta, Lorraine C. / Clinical Consensus Statement : Septoplasty with or without Inferior Turbinate Reduction. In: Otolaryngology - Head and Neck Surgery (United States). 2015 ; Vol. 153, No. 5. pp. 708-720.
@article{3821d69944c147b7b97737e5fa7dc01a,
title = "Clinical Consensus Statement: Septoplasty with or without Inferior Turbinate Reduction",
abstract = "Objective To develop a clinical consensus statement on septoplasty with or without inferior turbinate reduction. Methods An expert panel of otolaryngologists with no relevant conflicts of interest was assembled to represent general otolaryngology and relevant subspecialty societies. A working definition of septoplasty with or without inferior turbinate reduction and the scope of pertinent otolaryngologic practice were first established. Patients 18 years and older were defined as the targeted population of interest. A modified Delphi method was then used to distill expert opinion into clinical statements that met a standardized definition of consensus. Results The group defined nasal septoplasty as a surgical procedure designed to correct a deviated nasal septum for the purpose of improving nasal function, form, or both. After 2 iterative Delphi method surveys, 20 statements met the standardized definition of consensus, while 13 statements did not. The clinical statements were grouped into 8 categories for presentation and discussion: (1) definition and diagnosis, (2) imaging studies, (3) medical management prior to septoplasty, (4) perioperative management, (5) surgical considerations, (6) adjuvant procedures, (7) postoperative care, and (8) outcomes. Conclusion This clinical consensus statement was developed by and for otolaryngologists and is intended to promote appropriate and, when possible, evidence-based care for patients undergoing septoplasty with or without inferior turbinate reduction. A complete definition of septoplasty with or without inferior turbinate reduction was first developed, and additional statements were subsequently produced and evaluated addressing diagnosis, medical management prior to septoplasty, and surgical considerations, as well as the appropriate role of perioperative, postoperative, and adjuvant procedures, in addition to outcomes. Additionally, a series of clinical statements were developed, such as {"}Computed tomography scan may not accurately demonstrate the degree of septal deviation,{"} {"}Septoplasty can assist delivery of intranasal medications to the nasal cavity,{"} {"}Endoscopy can be used to improve visualization of posterior-based septal deviation during septoplasty,{"} and {"}Quilting sutures can obviate the need for nasal packing after septoplasty.{"} It is anticipated that the application of these principles will result in decreased variations in the care of septoplasty patients and an increase in the quality of care.",
keywords = "Delphi method, nasal, nasal septum, nose, septal surgery, septoplasty, septorhinoplasty, septum surgery, turbinate surgery, turbinates, turbinoplasty",
author = "Han, {Joseph K.} and Stringer, {Scott P.} and Rosenfeld, {Richard M.} and Archer, {Sanford M.} and Baker, {Dole P.} and Brown, {Seth M.} and Edelstein, {David R.} and Gray, {Stacey T.} and Lian, {Timothy S.} and Ross, {Erin J.} and Seiden, {Allen M.} and Michael Setzen and Tollefson, {Travis Tate} and Ward, {P. Daniel} and Welch, {Kevin C.} and Wise, {Sarah K.} and Nnacheta, {Lorraine C.}",
year = "2015",
month = "11",
day = "1",
doi = "10.1177/0194599815606435",
language = "English (US)",
volume = "153",
pages = "708--720",
journal = "Otolaryngology - Head and Neck Surgery (United States)",
issn = "0194-5998",
publisher = "Mosby Inc.",
number = "5",

}

TY - JOUR

T1 - Clinical Consensus Statement

T2 - Septoplasty with or without Inferior Turbinate Reduction

AU - Han, Joseph K.

AU - Stringer, Scott P.

AU - Rosenfeld, Richard M.

AU - Archer, Sanford M.

AU - Baker, Dole P.

AU - Brown, Seth M.

AU - Edelstein, David R.

AU - Gray, Stacey T.

AU - Lian, Timothy S.

AU - Ross, Erin J.

AU - Seiden, Allen M.

AU - Setzen, Michael

AU - Tollefson, Travis Tate

AU - Ward, P. Daniel

AU - Welch, Kevin C.

AU - Wise, Sarah K.

AU - Nnacheta, Lorraine C.

PY - 2015/11/1

Y1 - 2015/11/1

N2 - Objective To develop a clinical consensus statement on septoplasty with or without inferior turbinate reduction. Methods An expert panel of otolaryngologists with no relevant conflicts of interest was assembled to represent general otolaryngology and relevant subspecialty societies. A working definition of septoplasty with or without inferior turbinate reduction and the scope of pertinent otolaryngologic practice were first established. Patients 18 years and older were defined as the targeted population of interest. A modified Delphi method was then used to distill expert opinion into clinical statements that met a standardized definition of consensus. Results The group defined nasal septoplasty as a surgical procedure designed to correct a deviated nasal septum for the purpose of improving nasal function, form, or both. After 2 iterative Delphi method surveys, 20 statements met the standardized definition of consensus, while 13 statements did not. The clinical statements were grouped into 8 categories for presentation and discussion: (1) definition and diagnosis, (2) imaging studies, (3) medical management prior to septoplasty, (4) perioperative management, (5) surgical considerations, (6) adjuvant procedures, (7) postoperative care, and (8) outcomes. Conclusion This clinical consensus statement was developed by and for otolaryngologists and is intended to promote appropriate and, when possible, evidence-based care for patients undergoing septoplasty with or without inferior turbinate reduction. A complete definition of septoplasty with or without inferior turbinate reduction was first developed, and additional statements were subsequently produced and evaluated addressing diagnosis, medical management prior to septoplasty, and surgical considerations, as well as the appropriate role of perioperative, postoperative, and adjuvant procedures, in addition to outcomes. Additionally, a series of clinical statements were developed, such as "Computed tomography scan may not accurately demonstrate the degree of septal deviation," "Septoplasty can assist delivery of intranasal medications to the nasal cavity," "Endoscopy can be used to improve visualization of posterior-based septal deviation during septoplasty," and "Quilting sutures can obviate the need for nasal packing after septoplasty." It is anticipated that the application of these principles will result in decreased variations in the care of septoplasty patients and an increase in the quality of care.

AB - Objective To develop a clinical consensus statement on septoplasty with or without inferior turbinate reduction. Methods An expert panel of otolaryngologists with no relevant conflicts of interest was assembled to represent general otolaryngology and relevant subspecialty societies. A working definition of septoplasty with or without inferior turbinate reduction and the scope of pertinent otolaryngologic practice were first established. Patients 18 years and older were defined as the targeted population of interest. A modified Delphi method was then used to distill expert opinion into clinical statements that met a standardized definition of consensus. Results The group defined nasal septoplasty as a surgical procedure designed to correct a deviated nasal septum for the purpose of improving nasal function, form, or both. After 2 iterative Delphi method surveys, 20 statements met the standardized definition of consensus, while 13 statements did not. The clinical statements were grouped into 8 categories for presentation and discussion: (1) definition and diagnosis, (2) imaging studies, (3) medical management prior to septoplasty, (4) perioperative management, (5) surgical considerations, (6) adjuvant procedures, (7) postoperative care, and (8) outcomes. Conclusion This clinical consensus statement was developed by and for otolaryngologists and is intended to promote appropriate and, when possible, evidence-based care for patients undergoing septoplasty with or without inferior turbinate reduction. A complete definition of septoplasty with or without inferior turbinate reduction was first developed, and additional statements were subsequently produced and evaluated addressing diagnosis, medical management prior to septoplasty, and surgical considerations, as well as the appropriate role of perioperative, postoperative, and adjuvant procedures, in addition to outcomes. Additionally, a series of clinical statements were developed, such as "Computed tomography scan may not accurately demonstrate the degree of septal deviation," "Septoplasty can assist delivery of intranasal medications to the nasal cavity," "Endoscopy can be used to improve visualization of posterior-based septal deviation during septoplasty," and "Quilting sutures can obviate the need for nasal packing after septoplasty." It is anticipated that the application of these principles will result in decreased variations in the care of septoplasty patients and an increase in the quality of care.

KW - Delphi method

KW - nasal

KW - nasal septum

KW - nose

KW - septal surgery

KW - septoplasty

KW - septorhinoplasty

KW - septum surgery

KW - turbinate surgery

KW - turbinates

KW - turbinoplasty

UR - http://www.scopus.com/inward/record.url?scp=84946047329&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84946047329&partnerID=8YFLogxK

U2 - 10.1177/0194599815606435

DO - 10.1177/0194599815606435

M3 - Article

VL - 153

SP - 708

EP - 720

JO - Otolaryngology - Head and Neck Surgery (United States)

JF - Otolaryngology - Head and Neck Surgery (United States)

SN - 0194-5998

IS - 5

ER -