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pediatric Septoplasty

Celeste C Gary
PURPOSE OF REVIEW: Timing of pediatric nasal surgery has always been a controversial topic. Concern over disrupting growing parts of the face and causing permanent facial deformity has led to a primarily conservative approach. Many surgeons feel that it is prudent to wait until the patient has completed nasal growth after puberty to pursue nasal surgery. RECENT FINDINGS: Recently, this attitude has been challenged with evidence that not only is nasal surgery in the pediatric age group not a detriment to facial growth, but failure to correct significant nasal deformity may actually cause dysmorphic facial growth secondary to obligate mouth breathing...
August 2017: Current Opinion in Otolaryngology & Head and Neck Surgery
Victoria S Lee, Rebecca M Gold, Sanjay R Parikh
CONCLUSIONS: Pediatric septoplasty may be associated with short-term symptomatic benefit. This benefit may be greater in female patients and equally achievable in young patients and using less invasive surgical approaches. OBJECTIVE: To determine the short-term effect of pediatric septoplasty, which is not routinely performed, on sinus and nasal-specific quality-of-life. METHODS: This study is a retrospective case series of 28 pediatric patients that underwent septoplasty...
March 2017: Acta Oto-laryngologica
Claudia Pereira Maniglia, José Victor Maniglia
INTRODUCTION: Untreated 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. OBJECTIVE: To report the surgical experience in treating children with nasal septum and/or nasal pyramid deviation. METHODS: Review 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...
July 2017: Brazilian Journal of Otorhinolaryngology
Cemal Cingi, Nuray Bayar Muluk, Seckin Ulusoy, Andrey Lopatin, Ethem Şahin, Desiderio Passali, Luisa Bellussi, Huntürk Atilla, Deniz Hanci, Niyazi Altıntoprak, Yuri Rusetski, Codrut Sarafoleanu, Ranko Mladina, Livije Kalogjera, Claudiu Manea
OBJECTIVES: Physicians have long had concerns about the potential harmful effects of pediatric septoplasties on the nasoseptal growth process because septal cartilage is important for the growth and development of the face. METHODS: In this review article, pediatric septoplasty and its indications are discussed, together with a literature survey. In addition, overviews of development of the nasal skeleton from neonate to adult, nasal growth, and cartilaginous septum are presented...
March 2016: American Journal of Rhinology & Allergy
Naja Chisty, Manpreet Singh, Mohammad Javed Ali, Milind N Naik
OBJECTIVES/HYPOTHESIS: Endoscopic dacryocystorhinostomy (DCR) is rapidly gaining recognition as a primary modality of management in acute dacryocystitis and lacrimal abscess. The purpose of the present study is to report long-term outcomes of powered endoscopic DCR in cases of acute dacryocystitis. STUDY DESIGN: Prospective interventional case series. METHODS: Twenty-one powered endoscopic DCRs were performed in 21 patients presenting with acute dacryocystitis...
March 2016: Laryngoscope
Ziya Salturk, Muzafer Inan, Tolgar Lutfi Kumral, Yavuz Atar, Guven Yildirim, Yavuz Uyar
INRODUCTION: Nasal septal deviation results from irregular development of the nasomaxillary complex and trauma. Treatment of nasal septal deviation in pediatric patients is one of the biggest challenges in rhinology. Surgery may alter craniofacial growth patterns, and so it may be indicated only in the selected cases. The use of external nasal dilators is a relatively new treatment modality in nasal obstruction. OBJECTIVE: This study was performed to assess the efficacy of external nasal dilator in pediatric nasal septal deviation patients...
September 2014: International Journal of Pediatric Otorhinolaryngology
Dusanka Jurkovic, Helmut Fischer, Wolfgang Gubisch
The nose represents the center of the face. The nasal shape changes with the progression from infancy to adulthood. In newborns, the main supporting structure of the nose is the dorsal septal cartilage; it is the facial growth center. The loss of septal cartilage at different ages leads to various facial syndromes involving the nose, maxilla, and orbita. Therefore, every surgical treatment can compromise not only the nasal growth but also the growth of the whole face. Childhood trauma or a malformation of the nose can also cause enormous functional impairments similar to those caused by surgical treatments...
June 2014: Facial Plastic Surgery: FPS
Mahmut Sinan Yilmaz, Mehmet Guven, Oznur Akidil, Gurkan Kayabasoglu, Deniz Demir, Hasan Mermer
OBJECTIVES: The aim of this study is to evaluate the outcomes of septoplasty and the effects of septoplasty on the quality of life and to determine postoperative patient satisfaction in children using nose obstruction symptom evaluation (NOSE) and visual analog scale (VAS). METHODS: Only pediatric patients who underwent septoplasty were included in the study. Patients who underwent adenoidectomy, endoscopic sinus surgery, or turbinate surgery in addition to septoplasty and total septal reconstruction with open technique septorhinoplasty were excluded from the study...
August 2014: International Journal of Pediatric Otorhinolaryngology
Eelam Adil, Neerav Goyal, Fred G Fedok
IMPORTANCE To describe clinical parameters for the management of the pediatric patient with nasal anatomical deformity or functional impairment. OBJECTIVES To review the authors' experience with corrective nasal surgery in pediatric patients and make recommendations regarding indications for surgery and surgical techniques. DESIGN, SETTING, AND PARTICIPANTS A retrospective medical chart review was performed for all male patients younger than 16 years and female patients younger than 14 years seen by the senior author (F...
May 2014: JAMA Facial Plastic Surgery
Ji Seon Bae, Eun-Sook Kim, Yong Ju Jang
OBJECTIVE: Performing rhinoplasty in children has been an issue of some debate due to concerns about potential harmful effects on nasoseptal growth. However, there is a paucity of evidence describing the outcomes of pediatric rhinoplasty. This study presents our experience of performing this procedure in children of 17 years of age and younger. METHODS: The study population consisted of 64 Korean children between 4 and 17 years of age who underwent rhinoplasty between May 2003 and August 2011...
October 2013: International Journal of Pediatric Otorhinolaryngology
Ibrahim Cukurova, Hüseyin Kırşen, Gül Caner Mercan, Murat Gümüşsoy, Yücel Karaman, Umit Bayol, Tuna Imamoğlu, Duygu Uzel
OBJECTIVES: In this study, in vivo histopathological and radiological findings in rabbit septum through laser, radiofrequency (RF) and Cottle's method were investigated. MATERIALS AND METHODS: This study was conducted between November 2007 and February 2008 on 36 New Zealand rabbits aged four-to-six months and weighing 1.5 to 2 kg. Subjects were divided into six equal groups. The first group was defined as the control group. Next four groups consisted of subjects where RF or laser was either applied transmucosal or directly to the cartilage...
November 2012: Kulak Burun Boğaz Ihtisas Dergisi: KBB, Journal of Ear, Nose, and Throat
Rachael Lawrence
OBJECTIVES: Controversy has surrounded the procedure of pediatric septoplasty since the 1950s due to concerns over an adverse effect on nasal and facial growth. However, more recent evidence has demonstrated that septoplasty can be safely performed without affecting nasal and facial development in the appropriately selected pediatric patient. The purpose of this article is to establish the impact of pediatric septoplasty on nasal and facial growth and review the clinical indications and evidence for timing of surgery according to the most recent literature...
August 2012: International Journal of Pediatric Otorhinolaryngology
Zi Yang Jiang, Kevin D Pereira, Norman R Friedman, Ron B Mitchell
OBJECTIVES/HYPOTHESIS: A variety of techniques for inferior turbinate reduction have been used in children, but to date practice patterns have not been studied. The purpose of this survey was to study the practice of inferior turbinate surgery among pediatric otolaryngologists. STUDY DESIGN: Cross-sectional survey study. METHODS: A questionnaire was sent electronically to American Society of Pediatric Otolaryngologists members. RESULTS: A total of 249 questionnaires were sent, and 103 (41%) were completed...
July 2012: Laryngoscope
Hesham Mohammad Eladl, Shawky M Elmorsy
OBJECTIVE: To evaluate the use of wide middle meatal antrostomy in recurrent antrochoanal polyp (ACP) in children as regard technical difficulty, efficacy, and safety in children. STUDY DESIGN: Retrospective study. PATIENTS AND METHODS: In a retrospective study, 12 children with unilateral recurrent ACP (5 left-sided, 7 right-sided). All the ACPs were documented by preoperative endoscopy and computer tomographic (CT) scans. All cases were treated using endoscopic wide middle meatal antrostomy...
November 2011: International Journal of Pediatric Otorhinolaryngology
Ignazio Tasca, Giacomo Ceroni Compadretti
BACKGROUND: Septoplasty in children is still a matter of open discussion, because it is thought that a surgical procedure on a developing structure might produce some adverse effects on normal nasal growth. The goal of this retrospective study is to evaluate the effects of pediatric nasal septum surgery in a long-term follow-up by anthropometry. METHODS: Forty-four Italian patients, 25 male patients and 19 female patients, who had undergone septoplasty during childhood using the endonasal approach, were reassessed after a mean follow-up of 12...
January 2011: American Journal of Rhinology & Allergy
Francesco Dispenza, Carmelo Saraniti, Daniela Sciandra, Gautham Kulamarva, Carlo Dispenza
OBJECTIVE: The classical teaching advocates a conservative approach for children presenting with various naso-septal deformities. It may not be appropriate especially when it causes nasal obstruction to the growing child. This study has two main purposes: to contribute in identifying the correct selection criteria for surgical management of pediatric patients and in selecting the most appropriate surgical technique. MATERIAL AND METHOD: We reviewed a series of 46 cases of post-traumatic septal and naso-septal deformity not managed promptly or with recurrence of nasal deviation, following bones fracture correction alone...
December 2009: Auris, Nasus, Larynx
J Jared Christophel, Charles W Gross
This article discusses the importance of obtaining the correct anatomic location of a nasal obstruction in the pediatric patient, the relative and absolute indications for septoplasty, and surgical techniques. Because disruption of the developing nasal septum can alter craniofacial growth patterns, the current understanding of the effect of septoplasty on craniofacial growth is also discussed.
April 2009: Otolaryngologic Clinics of North America
Binti Haji Idrus Ruszymah, Kienhui Chua, Mazlyzam Abdul Latif, Fuzina Nor Hussein, Aminuddin Bin Saim
OBJECTIVE: Treatment and management of congenital as well as post-traumatic trachea stenosis remains a challenge in pediatric surgery. The aim of this study was to reconstruct a trachea with human nasal septum chondrocytes by using the combination of biodegradable hydrogel and non-biodegradable high-density polyethylene (HDP) as the internal predetermined shape scaffold. METHODS: Human nasal septum cartilage was harvested as excessive tissue after elective septoplasty and digested in 0...
November 2005: International Journal of Pediatric Otorhinolaryngology
J P Cheatham
Neonates that present with hypoplastic left heart syndrome (HLHS) and intact atrial septum (IAS) pose a major management problem for the pediatric cardiac team. They are critically ill newborns with profound hypoxemia and acidosis that require immediate attention. Controversy exists as to the most appropriate management strategy. In one series where a primary and emergent surgical-staged reconstructive procedure was performed, the in-house hospital mortality was 65% and the overall survival was 17%. With equal abysmal results, transcatheter creation of an atrial septal defect (ASD) using conventional balloon atrial septostomy (BAS) with or without the combination of blade atrial septotomy had an unacceptable high risk of cardiac perforation leading to tamponade and death...
June 2001: Journal of Interventional Cardiology
T Matsumoto, H Oku, H Kitayama
Our successful trans-right ventricular septal myectomy with septoplasty and patch reconstruction of the right ventricular outflow tract in a pediatric patient with diffuse hypertrophic obstructive cardiomyopathy indicates the usefulness of this procedure in such patients.
October 2000: Japanese Journal of Thoracic and Cardiovascular Surgery
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