DALLAS—A 37-year-old woman presents with nasal airway obstruction that’s worse on the left, when lying down, and in cold air. Over the past three months, she has tried over-the-counter medications and a steroid nasal spray, with some improvement.
Explore this issue:November 2015
An exam shows that the septum is deviated to the left. Now, questions arise: Do you need to perform a CT scan to document the deviation? How long does she need to try nasal spray before moving on to surgery? What do you need to give the insurer for prior authorization?
These and other questions have been addressed in a new Clinical Consensus Statement on septoplasty from the Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS). The major points of the statement, which offers 20 comments regarding imaging, medical management, and perioperative considerations for septoplasty, were discussed in a session during the annual meeting of the AAO-HNS Foundation, held in Dallas September 27-30.