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Review Article
Online Published: 17 Oct 2026
 


Supraglottic airway devices versus endotracheal tube in nasal and paranasal sinus surgery: a systematic review and meta-analysis

Lama Abdulaziz A Alshahrani, Rasil Essa M Alqahtani, Abdullah Mohammed Alghamdi, Abdullah Faisal Alrashid, Sultan Khalid Alsubaie, Anas Amin Faydh, Ahmad Ziyad Azzouz, Mohammed Abdullah Alamri, Lana Bandar Altowairqi, Rahmah Ali Alhumayani, Abdullah Ahmed Alhelali.


Abstract
Supraglottic airway devices (SGAs) are increasingly used as alternatives to endotracheal tubes (ETTs) during nasal and paranasal sinus surgery. This systematic review and meta-analysis aimed to compare the safety and effectiveness of SGAs and ETTs in this surgical population. PubMed, Embase, and Scopus were searched from inception to August 2026 for comparative studies evaluating SGAs versus ETTs in patients undergoing nasal or paranasal sinus surgery. Random-effects meta-analyses were performed to assess early postoperative sore throat, hoarseness, nausea, and procedure time. Nine studies including 688 patients were included. Compared with ETTs, SGAs were associated with significantly lower odds of early postoperative sore throat (OR = 0.38, 95% CI: 0.18–0.81; p = 0.01) and hoarseness (OR = 0.30, 95% CI: 0.10–0.91; p = 0.03). No significant differences were observed in procedure time (MD = −0.02, 95% CI: −3.56–3.53; p = 0.99) or early postoperative nausea (OR = 1.04, 95% CI: 0.48–2.26; p = 0.93). SGAs might be a suitable alternative to ETTs in appropriately selected patients undergoing nasal and paranasal sinus surgery and might reduce early postoperative airway morbidity, particularly sore throat and hoarseness. However, heterogeneity among airway devices and limited evidence regarding rare but clinically important airway complications should be considered when interpreting these findings.

Key words: Supraglottic airway device, laryngeal mask airway, endotracheal tube, nasal surgery, airway management, meta-analysis


 
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How to Cite this Article
Pubmed Style

Alshahrani LAA, Alqahtani REM, Alghamdi AM, Alrashid AF, Alsubaie SK, Faydh AA, Azzouz AZ, Alamri MA, Altowairqi LB, Alhumayani RA, Alhelali AA. Supraglottic airway devices versus endotracheal tube in nasal and paranasal sinus surgery: a systematic review and meta-analysis. IJMDC. Online First: 17 Oct, 2026. doi:10.24911/IJMDC.51-1787278463

Web Style

Alshahrani LAA, Alqahtani REM, Alghamdi AM, Alrashid AF, Alsubaie SK, Faydh AA, Azzouz AZ, Alamri MA, Altowairqi LB, Alhumayani RA, Alhelali AA. Supraglottic airway devices versus endotracheal tube in nasal and paranasal sinus surgery: a systematic review and meta-analysis. https://www.ijmdc.com/?mno=332080 [Access: October 17, 2026]. doi:10.24911/IJMDC.51-1787278463

AMA (American Medical Association) Style

Alshahrani LAA, Alqahtani REM, Alghamdi AM, Alrashid AF, Alsubaie SK, Faydh AA, Azzouz AZ, Alamri MA, Altowairqi LB, Alhumayani RA, Alhelali AA. Supraglottic airway devices versus endotracheal tube in nasal and paranasal sinus surgery: a systematic review and meta-analysis. IJMDC. Online First: 17 Oct, 2026. doi:10.24911/IJMDC.51-1787278463


Vancouver/ICMJE Style

Alshahrani LAA, Alqahtani REM, Alghamdi AM, Alrashid AF, Alsubaie SK, Faydh AA, Azzouz AZ, Alamri MA, Altowairqi LB, Alhumayani RA, Alhelali AA. Supraglottic airway devices versus endotracheal tube in nasal and paranasal sinus surgery: a systematic review and meta-analysis. IJMDC, [cited October 17, 2026]; Online First: 17 Oct, 2026. doi:10.24911/IJMDC.51-1787278463


Harvard Style

Alshahrani, L. A. A., Alqahtani, . R. E. M., Alghamdi, . A. M., Alrashid, . A. F., Alsubaie, . S. K., Faydh, . A. A., Azzouz, . A. Z., Alamri, . M. A., Altowairqi, . L. B., Alhumayani, . R. A. & Alhelali, . A. A. (2026) Supraglottic airway devices versus endotracheal tube in nasal and paranasal sinus surgery: a systematic review and meta-analysis. IJMDC, Online First: 17 Oct, 2026. doi:10.24911/IJMDC.51-1787278463


Turabian Style

Alshahrani, Lama Abdulaziz A, Rasil Essa M Alqahtani, Abdullah Mohammed Alghamdi, Abdullah Faisal Alrashid, Sultan Khalid Alsubaie, Anas Amin Faydh, Ahmad Ziyad Azzouz, Mohammed Abdullah Alamri, Lana Bandar Altowairqi, Rahmah Ali Alhumayani, and Abdullah Ahmed Alhelali. 2026. Supraglottic airway devices versus endotracheal tube in nasal and paranasal sinus surgery: a systematic review and meta-analysis. International Journal of Medicine in Developing Countries, Online First: 17 Oct, 2026. doi:10.24911/IJMDC.51-1787278463


Chicago Style

Alshahrani, Lama Abdulaziz A, Rasil Essa M Alqahtani, Abdullah Mohammed Alghamdi, Abdullah Faisal Alrashid, Sultan Khalid Alsubaie, Anas Amin Faydh, Ahmad Ziyad Azzouz, Mohammed Abdullah Alamri, Lana Bandar Altowairqi, Rahmah Ali Alhumayani, and Abdullah Ahmed Alhelali. "Supraglottic airway devices versus endotracheal tube in nasal and paranasal sinus surgery: a systematic review and meta-analysis." International Journal of Medicine in Developing Countries Online First: 17 Oct, 2026. doi:10.24911/IJMDC.51-1787278463


MLA (The Modern Language Association) Style

Alshahrani, Lama Abdulaziz A, Rasil Essa M Alqahtani, Abdullah Mohammed Alghamdi, Abdullah Faisal Alrashid, Sultan Khalid Alsubaie, Anas Amin Faydh, Ahmad Ziyad Azzouz, Mohammed Abdullah Alamri, Lana Bandar Altowairqi, Rahmah Ali Alhumayani, and Abdullah Ahmed Alhelali. "Supraglottic airway devices versus endotracheal tube in nasal and paranasal sinus surgery: a systematic review and meta-analysis." International Journal of Medicine in Developing Countries Online First: 17 Oct, 2026. Web. 17 Oct 2026 doi:10.24911/IJMDC.51-1787278463


APA (American Psychological Association) Style

Alshahrani, L. A. A., Alqahtani, . R. E. M., Alghamdi, . A. M., Alrashid, . A. F., Alsubaie, . S. K., Faydh, . A. A., Azzouz, . A. Z., Alamri, . M. A., Altowairqi, . L. B., Alhumayani, . R. A. & Alhelali, . A. A. (2026) Supraglottic airway devices versus endotracheal tube in nasal and paranasal sinus surgery: a systematic review and meta-analysis. International Journal of Medicine in Developing Countries, Online First: 17 Oct, 2026. doi:10.24911/IJMDC.51-1787278463




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