Abstract
This systematic review compared the effectiveness and postoperative course of these approaches and assessed the reliability of the available data. A systematic review of the literature published between January 2018 and July 2023 was performed using several databases. Relevant research that compared endoscopic and conventional septoplasty (CS) was selected. Several keywords including «Septoplasty,» «Septorhinoplasty,» «Nasal Septal Surgery,» «Deviated Nasal Septum,» «Endoscopy,» «Conventional Septoplasty», and «Endoscopic Septoplasty»(ES) were used to access the databases. The data compared included intraoperative ease, efficacy of the utilized approach, demands, and postoperative complications. The data of 1,808 patients from 20 studies that met the review criteria were evaluated. Both treatment approaches are efficient in managing nasal obstruction, which is most frequently caused by a deviated nasal septum. Associated complications were less likely to occur with ES than with CS (p < 0.05). Endoscopic patients experienced fewer complications following surgery (p < 0.05). Posterior deviations, spurs, and inferior deviations can be easily repaired using endoscopy-assisted septoplasty, which offers better surgical outcomes and fewer complications. Both methods are efficient in reducing nasal blockage and treating deviated nasal septa and associated symptoms, with fewer overall endoscopic approach complications than CS.

Key words: Septoplasty, septorhinoplasty, nasal septal surgery, conventional septoplasty, review