Journal archive · Septum, valve and airway · Open versus closed approach · 2011
Open versus endoscopic septoplasty: a single-blinded, randomized, controlled trial
Paradis J, Rotenberg BW.
In the archive as a landmark paper: the core sweep runs 2011–2026, and this one is here because the history of rhinoplasty rests on it · cited on septoplasty.
From the abstract
“A deviated septum can be corrected by either a conventional "open" or endoscopic approach. Controversy exists regarding comparative outcomes between these two techniques. Our objective was to compare the two according to subjective and objective criteria. Study Design: Prospective, single-blinded, randomized,…”
Excerpt; the full abstract is on PubMed.
Citation
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What the rhinoplasty literature says on this paper's topics, cited line by line to PubMed.
Septum, valve and airway
Every rhinoplasty is a breathing operation whether it intends to be or not: the septum holds the nose up as well as dividing it, and the narrowest part of the whole airway is the internal valve the surgeon is standing over.
Open versus closed approach
Whether the surgeon opens the nose through a small incision across the columella or works entirely through the nostrils has been argued in print since 1973, was put on facing pages of Plastic and Reconstructive Surgery by Jack Gunter and Jack Sheen in 1997, and was finally pooled in 2025: across twenty studies and 1,067 patients there is no significant difference in what patients report, in breathing, in complications or in swelling.
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- AJRA Nasal growth after pediatric septoplasty at long-term follow-upTasca I, Compadretti GC2011PMID 21711962Abstract
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