New Rhinoplasty Study Findings Reported from Stanford University School of Medicine (Septoplasty Revision Rates in Pediatric vs Adult Populations): Surgery – Rhinoplasty

2022 OCT 20 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Fresh data on rhinoplasty are presented in a new report. According to news originating from Stanford, California, by NewsRx editors, the research stated, “Importance: Although septal deviations are highly prevalent in the pediatric population and pediatric septoplasties are garnering more discussion, to date, there are no large-scale studies characterizing pediatric septoplasty revision rates. To identify rates of pediatric septoplasty revision in the US.”

Our news journalists obtained a quote from the research from Stanford University School of Medicine: “Design, Setting, and Participants: This retrospective, observational cohort study used administrative claims data from the IBM MarketScan Commercial Database (which contains inpatient and outpatient data for millions of patients and dependents covered by employer-sponsored private health insurance in the US) to identify patients undergoing septoplasty between January 1, 2007, and December 31, 2016. Patients 18 years or younger were included in the study as the pediatric cohort, and patients aged 19 to 65 years were included as the adult cohort for comparison. Patients were excluded if the initial surgery included rhinoplasty, nasal vestibular stenosis, or costal cartilage grafts or if the second surgery did not have nasal vestibular stenosis, septoplasty, rhinoplasty, and/or cartilage grafts. Main Outcomes and Measures: Outcomes included septoplasty revision rate, septoplasty-to-rhinoplasty conversion rate, and associated risks for revision surgery. Collected data were analyzed between January 1 and July 30, 2022 A total of 24 322 pediatric patients (mean [SD] age, 15.7 [2.5] years; 15 121 boys [62.2%]) who underwent an initial septoplasty were identified, of whom 704 (2.9%) received a revision. In the adult cohort of 286 218 patients (mean [SD] age, 41.4 [12.2] years; 162 893 [56.9%] men), 3081 individuals (1.1%) received a revision. Within the pediatric revision group, 66 patients (9.4%) received a rhinoplasty vs 162 (5.3%) in the adult revision group. All pediatric age groups had higher revision rates than the adult population, with the 9- to 13-year-old group having the highest rates of revision (118 of 2763 [4.3%]). Patients in the West and Northeast, along with those with point of service and health maintenance organization health plans, were more likely to receive a revision.”

According to the news reporters, the research concluded: “Conclusion and Relevance: The findings of this cohort study suggest that pediatric patients are more likely to receive a revision surgery than their adult counterparts. Furthermore, pediatric patients are more likely than adults to receive a rhinoplasty as their revision surgery. These findings provide valuable information that may be used to inform clinical decision-making, although further research is needed to better identify the causes for pediatric septoplasty revision.”

For more information on this research see: Septoplasty Revision Rates in Pediatric vs Adult Populations. JAMA Otolaryngology-Head & Neck Surgery, 2022. The publisher for JAMA Otolaryngology-Head & Neck Surgery is American Medical Association (AMA).

A free version of this journal article is available at https://doi.org/10.1001/jamaoto.2022.3041.

Our news editors report that additional information may be obtained by contacting Eric X. Wei, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California, United States. Additional authors for this research include Jay P. Shah, Gun Min Youn, Cherian Kandathil, Sam P. Most.

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