Abstract
IntroductionUntreated septal and/or nasal pyramid deviation in children should be corrected as soon as possible, because they can result in esthetic or functional problems years later. ObjectiveTo report the surgical experience in treating children with nasal septum and/or nasal pyramid deviation. MethodsReview of medical records of 202 children, 124 (61.4%) males and 78 (38.6%) females, between 4 and 16 years of age (M=11 years) who underwent rhinoplasty and/or septoplasty in a Pediatric Otolaryngology Service of the Dept. of Otolaryngology and Head and Neck Surgery between January 1994 and January 2010. ResultsSeptoplasty performed in 157 cases (77.7%); rhinoseptoplasty in 23 cases (11.4%), and rhinoplasty in 22 cases (10.9%). ConclusionNasal changes should be corrected in children, in order to provide harmonious growth, and prevent severe sequelae found in mouth breathers.
Highlights
Septal and/or nasal pyramid deviation occurs in all age groups, it is most commonly diagnosed in young adults
Children with nasal obstruction from any cause may develop serious sequelae and complications related to mouth breathing
A cross-sectional retrospective study was conducted to evaluate the experience of Pediatric Otorhinolaryngology Service of the Department of Otolaryngology and Head and Neck Surgery on the treatment of children with nasal septal and/or nasal pyramid deviation, regardless of the cause or etiology
Summary
Septal and/or nasal pyramid deviation occurs in all age groups, it is most commonly diagnosed in young adults. Its prevalence varies according to age groups.[1,2] Only a minority is diagnosed or treated in childhood, but untreated individuals may later manifest esthetic or functional problems.[3]. Children with nasal obstruction from any cause may develop serious sequelae and complications related to mouth breathing. The patency of the nasal passages allows proper growth and development of the nasomaxillary complex, and, both congenital and acquired deformities, should be corrected as early as possible. Conservative modifications to the nasal septum and the performance of osteotomies in children do not alter facial growth.[4] The correction of other obstructions should be performed during the same operation.[5]
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