Christian Calvo-Henríquez1,2, J Carlos Neves3, Diego Arancibia-Tagle3, Carlos Chiesa-Estomba4,5, Jerome R Lechien4,6, Miguel Mayo-Yáñez4,7, Gabriel Martinez-Capoccioni4,8, Carlos Martin-Martin8. 1. Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS) Study Group, Paris, France. christian.ezequiel.calvo.henriquez@sergas.es. 2. Service of Otolaryngology, Travesía de Choupana, Hospital Complex of Santiago de Compostela, s/n. 15706, Santiago de Compostela, Spain. christian.ezequiel.calvo.henriquez@sergas.es. 3. Department of Facial Plastic Surgery - My Face Clinics and Academy, Lisbon, Portugal. 4. Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS) Study Group, Paris, France. 5. Service of Otolaryngology, Donostia University Hospital, San Sebastian, Spain. 6. Foch Hospital, University of Paris Saclay, Paris, France. 7. Service of Otolaryngology, Hospital Complex of La Coruña, La Coruña, Spain. 8. Service of Otolaryngology, Travesía de Choupana, Hospital Complex of Santiago de Compostela, s/n. 15706, Santiago de Compostela, Spain.
Abstract
OBJECTIVE: Septal deviation is an important cause of impaired nasal breathing among pediatric patients. A widespread solution to septal deviation is septoplasty. However, there are certain controversies surrounding the effect of this technique on pediatric patients and its influence on the growth centers of the nose. The objective of this review is to study if there is a strong and valid evidence in the literature that supports a detrimental effect of pediatric septo- and rhinoseptoplasty in facial growth DATA SOURCES: Pubmed (Medline), the Cochrane Library, EMBASE and Trip Database. REVIEW METHODS: The outcome assessed was the midfacial growth after pediatric septoplasty. RESULTS: Eight publications met the inclusion criteria. None found major disturbances in facial growth. Only minor nasal anomalies were reported by 4 authors. CONCLUSION: Septoplasty in pediatric patients does not seem to affect midfacial growth according to available evidence. However, due to their design, the degree of recommendation of these studies was not superior to level C.
OBJECTIVE: Septal deviation is an important cause of impaired nasal breathing among pediatric patients. A widespread solution to septal deviation is septoplasty. However, there are certain controversies surrounding the effect of this technique on pediatric patients and its influence on the growth centers of the nose. The objective of this review is to study if there is a strong and valid evidence in the literature that supports a detrimental effect of pediatric septo- and rhinoseptoplasty in facial growth DATA SOURCES: Pubmed (Medline), the Cochrane Library, EMBASE and Trip Database. REVIEW METHODS: The outcome assessed was the midfacial growth after pediatric septoplasty. RESULTS: Eight publications met the inclusion criteria. None found major disturbances in facial growth. Only minor nasal anomalies were reported by 4 authors. CONCLUSION: Septoplasty in pediatric patients does not seem to affect midfacial growth according to available evidence. However, due to their design, the degree of recommendation of these studies was not superior to level C.
Authors: Bruno B Vieira; Carla E Itikawa; Leila A de Almeida; Heidi S Sander; Regina M F Fernandes; Wilma T Anselmo-Lima; Fabiana C P Valera Journal: Int J Pediatr Otorhinolaryngol Date: 2011-01-08 Impact factor: 1.675