Endoscopic-assisted versus conventional closed septorhinoplasty: a comparative study of functional, aesthetic, and postoperative outcomes.

BACKGROUND: Nasal septal deviation is a common cause of nasal obstruction, and septorhinoplasty addresses both functional and aesthetic concerns. The role of endoscopic assistance in closed septorhinoplasty remains incompletely characterized. OBJECTIVES: To compare conventional closed and endoscopic-assisted septorhinoplasty regarding functional and aesthetic outcomes, postoperative morbidity, and operative time. MATERIALS AND METHODS: This prospective, randomized, single-blinded clinical trial included 50 patients randomized to conventional closed (group A) or endoscopic-assisted septorhinoplasty (group B). Outcomes included Nasal Obstruction Symptom Evaluation (NOSE) scores, FACE-Q Rhinoplasty Module, operative time, and postoperative morbidity (edema, ecchymosis, pain). RESULTS: < 0.05). CONCLUSIONS AND SIGNIFICANCE: Endoscopic-assisted septorhinoplasty offers superior early functional outcomes and reduced postoperative morbidity despite longer operative time, with comparable long-term aesthetic results. These findings support endoscopic assistance as a valuable adjunct for enhancing surgical precision and early recovery in septorhinoplasty.