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Orlandi et al.

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TABLE XII-18 Evidence for concurrent septoplasty with sinus surgery Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions Smith 2037 2017 2 Prospective, multi-center observational cohort 288 ESS procedures performed at 3 sites Improvements in patient-reported outcome measures ESS with septoplasty associated with greater improvement. Rudmik 2031 2011 2 Prospective, multi-institutional cohort study ESS with septoplasty (n = 108) ESS without septoplasty (n = 113) Rhinosinusitis Disability Index Chronic Sinusitis Survey No statistically significant differences between groups. Khanwalker 2036 2019 3 Prospective cohort series 288 patients undergoing septoplasty, or ESS with or without septoplasty Patient reported days to pain relief

Concurrent ESS and septoplasty associated with greater opioid usage.

Narcotic usage ESS with septoplasty not associated with narcotics refills. Postoperative outcomes

Septoplasty associated with fewer days to pain relief while ESS with septoplasty associated with more days to pain relief.

Patients treated with revision ESS with septoplasty had higher disease burden on CT scan.

Rhinoplasty/septoplasty/ESS and ESS with septoplasty produce similar results.

Patient reported narcotic usage

Lund-Mackay CT scores

undergoing ESS with orwithout septoplasty

undergoing ESS

Fu 799 2019 4 Case-control study 72 patients undergoing revision ESS with and without septoplasty

ESS, septoplasty and rhinoplasty and 20

patients undergoing only ESS and septoplasty

346 patients

Newberry 2035 2019 3 Prospective cohort series

Marchia 2038 2018 4 Retrospective review 20 patients undergoing

Jafari 2034 2018 4 Retrospective review 121 patients