Nasal Growth After External Septoplasty in Children

摘要: Objective: To assess the impact of external septoplasty surgery on nasal growth in children. Design: Twelve anthropometric measurements (9 linear and 3 angular) were obtained patients who previously underwent for severe obstruction caused by septal deviation anterior to spine. Surgery consisted excision, refashioning, reinsertion quadrilateral cartilage. From these 12 measurements, 5 proportional indexes calculated, then all proportions compared with published norms. Follow-up taken at least 2 years after (average, 3.4 years). Setting: The Hospital Sick Children, Toronto, Ontario, a tertiary care children's hospital. Participants: Twenty-eight between ages 6 15 years. Results: principal face nose within 1 SD normative mean majority those study group. This was true height, tip protrusion, width, columella length, upper inclination face, dorsum, columella. Values 4 also overwhelmingly normal range. Twenty-nine percent dorsum 57% more than SDs from mean, indicating predominance short dorsums. Conclusions: External does not affect most aspects facial growth, but it may negatively influence dorsum. Prospective studies are needed clarify this issue. Arch Otolaryngol Head Neck Surg. 1996;122:816-821