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<p>To evaluate diagnostic and management practices for septal deviation (SD) and nasal valve collapse (NVC) among otolaryngologists, and to assess variability across subspecialties. Cross-sectional survey study. Members of the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS). A 20-item questionnaire addressing diagnostic techniques, surgical approaches, and awareness of clinical guidelines was distributed electronically to AAO-HNS members. Responses were collected anonymously and analyzed descriptively. A total of 140 otolaryngologists participated, including general otolaryngologists (59.2%), facial plastic surgeons (22.8%), and rhinologists (14.2%). The most commonly used diagnostic methods for NVC were visual inspection (87.9% for internal, 89.8% for external) and the modified Cottle maneuver (82.9% for internal, 66.1% for external). Internal nasal valve collapse and caudal septal deviation were most frequently cited as causes of septoplasty failure. Awareness of consensus guidelines was variable: 53.5% were aware of the Septoplasty Consensus Statement, but only 17.8% reported it influenced their practice. Similarly, 32.8% were aware of the Nasal Valve Consensus Statement, with 15% noting any impact on clinical decision-making. Diagnostic and management practices for SD and NVC demonstrate considerable variability among otolaryngologists, with notable differences across subspecialties. Limited adherence to consensus guidelines highlights the need for standardized diagnostic protocols and broader adoption of evidence-based practices to improve surgical outcomes and reduce septoplasty failure rates.</p>

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Variability in the Diagnosis and Management of Septal Deviation and Nasal Valve Collapse: A National Survey of Otolaryngologists

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月6日

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  • Ali B. Jafar,
  • James P. Bonaparte

摘要

To evaluate diagnostic and management practices for septal deviation (SD) and nasal valve collapse (NVC) among otolaryngologists, and to assess variability across subspecialties. Cross-sectional survey study. Members of the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS). A 20-item questionnaire addressing diagnostic techniques, surgical approaches, and awareness of clinical guidelines was distributed electronically to AAO-HNS members. Responses were collected anonymously and analyzed descriptively. A total of 140 otolaryngologists participated, including general otolaryngologists (59.2%), facial plastic surgeons (22.8%), and rhinologists (14.2%). The most commonly used diagnostic methods for NVC were visual inspection (87.9% for internal, 89.8% for external) and the modified Cottle maneuver (82.9% for internal, 66.1% for external). Internal nasal valve collapse and caudal septal deviation were most frequently cited as causes of septoplasty failure. Awareness of consensus guidelines was variable: 53.5% were aware of the Septoplasty Consensus Statement, but only 17.8% reported it influenced their practice. Similarly, 32.8% were aware of the Nasal Valve Consensus Statement, with 15% noting any impact on clinical decision-making. Diagnostic and management practices for SD and NVC demonstrate considerable variability among otolaryngologists, with notable differences across subspecialties. Limited adherence to consensus guidelines highlights the need for standardized diagnostic protocols and broader adoption of evidence-based practices to improve surgical outcomes and reduce septoplasty failure rates.