Advances in rhinoplasty evidence: a narrative overview of recent meta-analyses (2015-2025)

Septoplasty and septorhinoplasty are key procedures in functional and aesthetic nasal surgery. Over the past decade, evidence on diagnostics, techniques, and outcomes has expanded significantly. - - To provide a structured summary of current evidence from systematic reviews and meta-analyses, focu...

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Hauptverfasser: Seidel, David Ulrich (VerfasserIn) , Rotter, Nicole (VerfasserIn) , Scheithauer, Mark (VerfasserIn) , Ebeling, Olaf (VerfasserIn) , Bode, Simon (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2026
In: Facial plastic surgery
Year: 2026, Jahrgang: 38
ISSN:1098-8793
DOI:10.1055/a-2778-9712
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1055/a-2778-9712
Verlag, lizenzpflichtig, Volltext: http://www.thieme-connect.de/DOI/DOI?10.1055/a-2778-9712
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Verfasserangaben:David Ulrich Seidel, Nicole Rotter, Mark Scheithauer, Olaf Ebeling, Simon Bode

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520 |a Septoplasty and septorhinoplasty are key procedures in functional and aesthetic nasal surgery. Over the past decade, evidence on diagnostics, techniques, and outcomes has expanded significantly. - - To provide a structured summary of current evidence from systematic reviews and meta-analyses, focusing on diagnostics, surgical techniques, perioperative treatment, and patient-reported outcomes. - - Narrative review of 86 articles, reviews, and meta-analyses published within the past 10 years. - - Studies were screened for relevance to functional and aesthetic rhinoplasty. Extracted data covered diagnostic methods, surgical techniques, medications, PROMs, and functional outcomes. - - Four-phase rhinomanometry offers promise but lacks validation. Body dysmorphic disorder (BDD) screening is gaining relevance. Evidence supports perioperative corticosteroids and tranexamic acid; routine antibiotics appear unnecessary. PROMs (NOSE, ROE, SNOT-22) are widely used. - - Evidence for rhinoplasty is growing but heterogeneous. Standardized diagnostics, PROM-linked objective measures, and long-term data are needed to guide future patient-centered care. 
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