| Summary: | It is widely believed that constructed wetlands (CWs) own great potentiality as polishing wastewater treatment methods for removing carbamazepine (CBZ). Although the typical CBZ removal efficiencies in CWs are quite low, the CBZ removal performance could be improved to some extend by optimizing the CW design parameters. A comparison of current relevant studies indicates that horizontal sub-surface flow CWs (HSSF-CWs) and hybrid wetlands are attracting more interest for the treatment of CBZ wastewater. According to CBZ’s physicochemical properties, substrate adsorption (25.70–57.30%) and macrophyte uptake (22.30–51.00%) are the two main CBZ removal pathways in CWs. The CBZ removal efficiency of CWs employing light expanded clay aggregate (LECA) as a substrate could reach values higher than 90%, and the most favorable macrophyte species is Iris sibirica, which has shown the highest total CBZ assimilation capacity. Several methods for enhancement have been proposed to optimize CBZ removal in CWs, including development of hydraulic models for optimization of CW operation, introduction of extra new CBZ removal ways into CW through substrate modification, design of combined/integrated CW, etc.
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