Pediatric Septoplasty: Effect on Nasal Breathing and Need for Revision Surgery, Systematic Review and Meta-Analysis

Abstract Background Some children with a deviated nasal septum show no symptoms, but up to 30% have breathing problems. Septal deviation is usually caused by microtrauma during delivery, but in severe cases, trauma is the main cause. Many people fail to recognize septal damage after trauma, &children with untreated septal abnormalities often have severe problems. Thus, we can see why symptoms increase with age. Objective This review seeks to establish, through the available literature, the effect of nasal septoplasty among pediatric patients on nasal breathing and need for revision surgery. Subjects and Methods Prospective and retrospective studies published in peer-reviewed journals including clinical trial, cohort study, cases, cross sectional. Results Five studies.4,5,6,8,9 151 people assessed NOSE pre- and post- pediatric septoplasty. The pooled mean NOSE score difference between pre- and postoperative evaluations was -50.26 (95% CI, -62.55 to -37.97), showing a substantial decrease. In Saeed et al. [20], mean differences ranged from -71 points (95% CI, -75.41 to -66.59) to -30 points in Lee (2017). Surgical benefits were regularly shown. Each year of follow-up did not substantially lower NOSE score improvement by 0.39 (SE = 0.29; P = 0.17; I² = 89.6%) in a meta-regression analysis In children, NOSE score improvement increased by 6.36 per year (SE = 1.14; P = <0.001; I² = 34.45%). In a meta-regression research on revision rates following pediatric septoplasty, each year of follow-up raised the rate by 0.13 (SE 0.02; P < 0.001; I² = 4.78%). However, revision rates were not significantly associated with each year of pediatric age (coefficient, -0.39; SE 0.22; P = 0.075; I² = 86.25%). Conclusion Septoplasty improves nasal airway function and nasal obstruction in children, according to this comprehensive review and meta-analysis. NOSE Scale disease specific QOL improved significantly after pediatric septoplasty. According to the meta-regression analysis (Table 7), each year of follow-up time resulted in a 0.39 drop in NOSE score improvement (SE = 0.29; P = 0.17; I² = 89.6%). Each year of pediatric age increased NOSE score improvement by 6.36.