Evidence map›Paper›PMID 42046593›Full record

ReviewCureus2026

Timing of Nasal Splint Removal After Septoplasty and Its Effects on Postoperative Functional Outcomes and Complications: A Systematic Review and Meta-Analysis.

Lara S Alansari, Ahmed Almukhlifi, Ragad AlGarni, Ameneah Ayub, Yazeed Alosaimi, Meshal Almutairi, Shjoon Alnofaie, Walaa Al Khamis, Osama Alharbi, Norah Alkhashan and 3 more

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Lara S AlansariCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Ahmed AlmukhlifiCollege of Medicine, Taibah University, Medina, SAU.
Ragad AlGarniMedicine and Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, SAU.
Ameneah AyubCollege of Medicine, Taif University, Taif, SAU.
Yazeed AlosaimiCollege of Medicine, Taif University, Taif, SAU.
Meshal AlmutairiCollege of Medicine, King Saud University, Riyadh, SAU.
Shjoon AlnofaieCollege of Medicine, Taif University, Taif, SAU.
Walaa Al KhamisCollege of Medicine, University of Bisha, Bisha, SAU.
Osama AlharbiCollege of Medicine, Ibn Sina National College for Medical Studies, Jeddah, SAU.
Norah AlkhashanCollege of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, SAU.
Judi AlbishrCollege of Medicine, Jeddah University, Jeddah, SAU.
Rasil AlqahtaniCollege of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, SAU.
Hadi Afandi Al-HakamiOtorhinolaryngology-Head and Neck Surgery, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The optimal timing for intranasal splint removal following septoplasty remains controversial. This systematic review and meta-analysis assessed how splint removal timing affects postoperative pain, nasal function, olfactory performance, and complications. In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we systematically searched PubMed, Google Scholar, and Web of Science (PROSPERO: CRD420251129055). Six studies from Turkey (2011-2024) involving 516 patients were included. Participants were stratified into early (days 1-3), intermediate (days 4-7), and late (>7 days) removal groups. Data were pooled using random-effects models. Results indicated that pain outcomes did not differ between early and intermediate removal, evidenced by a standardized mean difference (SMD) of 0.04 (p=0.80), but pain was significantly lower with late removal compared to intermediate timing (SMD 1.24, p<0.001). Nasal Obstruction Symptom Evaluation (NOSE) scores favored early (SMD -0.57, p=0.037) and intermediate (SMD -0.73, p=0.008) removal over late removal. Olfactory function, assessed using the Connecticut Chemosensory Clinical Research Center (CCCRC) odor test, was impaired with early removal compared to intermediate (SMD -0.56, p=0.039) and late removal (SMD -0.55, p=0.045). While complications showed no significant differences among groups, septal perforation risk was higher with early removal (OR 5.69, 95% CI 0.94-34.44, p=0.059), but this difference did not reach statistical significance.Notably, all included studies were conducted in Turkey, which may limit the generalizability of these findings to other populations and clinical settings

Indexed as

bacterial colonizationnasal splint removalpostoperative complicationspostoperative painseptoplasty

Identifiers

PMID42046593
PMCPMC13110420

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.