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Facial Plast Surg
DOI: 10.1055/a-2778-9712
Original Research

Advances in Rhinoplasty Evidence: A Narrative Overview of Recent Meta-Analyses (2015-2025)

Authors

  • David Ulrich Seidel 

    1   Otorhinolaryngology, plastic facial surgery, Regional Hospital Gummersbach, Gummersbach, Germany (Ringgold ID: RIN68184)

  • Simon Bode 

    2   Otorhinolaryngology , plastic facial surgery, Regional Hospital Gummersbach, Gummersbach, Germany (Ringgold ID: RIN68184)

  • Nicole Karoline Rotter

    3   Department of Otorhinolaryngology Head and Neck Surger, University Hospital Mannheim, Mannheim, Germany

  • Olaf Ebeling

    4   Department of Otorhinolaryngology, Ortenau Clinic Lahr, Ortenau, Germany

  • Marc Oliver Scheithauer

    5   Otorhinolaryngology, Head and Neck Surgery, University Hospital Center Ulm, Ulm, Germany
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Introduction: 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. Objectives: To provide a structured summary of current evidence from systematic reviews and metaanalyses, focusing on diagnostics, surgical techniques, perioperative treatment, and patient-reported outcomes. Study Design: Narrative review of 86 articles, reviews and meta-analyses published within the past 10 years. Methods: Studies were screened for relevance to functional and aesthetic rhinoplasty. Extracted data covered diagnostic methods, surgical techniques, medications, PROMs, and functional outcomes. Results: Four-phase rhinomanometry offers promise but lacks validation. BDD screening is gaining relevance. Evidence supports perioperative corticosteroids and tranexamic acid; routine antibiotics appear unnecessary. PROMs (NOSE, ROE, SNOT-22) are widely used. Conclusions: Evidence for rhinoplasty is growing but heterogeneous. Standardized diagnostics, PROM-linked objective measures, and long-term data are needed to guide future patient-centred care. Keywords:



Publication History

Received: 04 August 2025

Accepted after revision: 23 December 2025

Accepted Manuscript online:
29 December 2025

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