Rhinosurgery in children: developmental and surgical aspects of the growing nose

Verwoerd, C. D. A.; Verwoerd-Verhoef, H.L.

doi:10.3205/cto000069

Cited by 18 publications

(3 citation statements)

References 114 publications

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“…20,21 Importantly, our patients were on average 17.74 years of age at the time of last follow-up, demonstrating a lack of sequelae through the critical craniofacial growth period. [22][23][24] Additionally, compared with other prior publications, this study design optimizes the validity of results by using a matched open transcranial cohort rather than normative data (e.g., Bolton standards 25 ), which has limited external validity due to the homogenous population from which the measurements are drawn.…”

Section: Discussionmentioning

confidence: 99%

Long‐Term Outcomes in Pediatric Midfacial Growth Following Expanded Endonasal Skull Base Surgery for Craniopharyngioma

Douglas,

Lee,

Sell

et al. 2023

The Laryngoscope

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Section: Discussionmentioning

confidence: 99%

Long‐Term Outcomes in Pediatric Midfacial Growth Following Expanded Endonasal Skull Base Surgery for Craniopharyngioma

Douglas,

Lee,

Sell

et al. 2023

The Laryngoscope

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“…During treatment, we turned to observations of Verwoerd and Verwoerd-Verhoef. 26 The authors advice caution during therapy at the level of vomeral structures, as well as with the advancing age of the patient. Surgery may alleviate excess sagittal growth of the premaxilla, that is, vomerine osteotomy distally from the vomero-palatal suture.…”

Section: Discussionmentioning

confidence: 99%

Presurgical Orthopedic Treatment of a 3-Year-Old Child with Unoperated Complete Bilateral Cleft Lip and Palate and Protruding Premaxilla

Radojicic

Trifunovic

Cutovic

et al. 2022

The Cleft Palate Craniofacial Journal

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Unoperated patients with bilateral complete cleft lip and palate (BCCLP), who do not receive orthopedic treatment in infancy and present with significant sagittal excess of the premaxilla, are among the most difficult patients to treat. Delay in primary reconstruction reduces the elastic characteristics of the tissues. The resulting rigidity of bony structures accompanied by the wide alveolar and palatal clefts associated with sagittal excess of the premaxilla pose a great challenge for both surgeon and orthodontist. There is no unique protocol for treatment of these conditions. This paper describes the use of orthopedic treatment in an unoperated 3-year-old male child with BCCLP and a protrusive premaxilla whose appearance and function were both severely affected. A modified Meazzini technique, as described in operated BCCLP patients with a downward-displaced premaxilla, was used. The device itself consists of the 2 independent components mutually connected by a 17 × 25 steel arch. The first is an active fan-type expander. The second consists of an acrylic cap covering the premaxilla and 3 brackets used for the steel arch application. They are connected by a rectangular steel 17 × 25 archwire. Reduction of the premaxillary sagittal excess of is carried out with an elastic chain. The use of this orthopedic appliance is a reliable and valuable presurgical treatment in the therapy of children with BCCLP and protrusive premaxilla whose orthopedic and surgical treatment have been delayed.

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“…Fourth, the concomitant incidence of septal fractures in nasal bone fractures in all generations was reported to be 46.9% and 47.4% [ 12 , 13 ], and the frequency of septal deformities in Korea was reported to be about 18.1% in newborns [ 14 ]. Because a septal injury may cause deterioration of facial growth and deformity by disturbing a growth center—more specifically, the sphenodorsal and sphenospinal zones—the presence or absence of concomitant septal injuries in adolescent nasal bone fractures is a very important concern [ 15 ]. In this study, the overall number of septal fractures in adolescents with nasal bone fractures was 97 (36.06%).…”

Section: Discussionmentioning

confidence: 99%

Clinical characteristics of adolescent nasal bone fractures

Kim

Han

Shim

et al. 2022

Arch Craniofac Surg

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Background: There have been many reports of nasal bone fractures in adults, but there are few clinical reports of them in adolescents, although adolescence is the main growth period of the nasal bone. In addition, previous studies have tended to classify and describe child and adolescent nasal fractures in the same category. The aim of this study was to identify the clinical aspects of nasal fractures in adolescents, and to evaluate the characteristics of nasal fractures in the growth period.Methods: Our institution’s database was reviewed to extract data on adolescent patients between the age of 13 to 18 who had isolated nasal bone fractures from March 2012 to February 2020. The study excluded patients with other facial fractures, previous facial fractures, or congenital deformities.Results: This study included 243 boys and 26 girls. Interpersonal violence and sports-related accidents accounted for 85 and 79 cases, respectively. There were 128 frontal impact injuries and 132 lateral impact injuries, and 97 patients had accompanying septal fractures. An accompanying septal fracture was present in 36.06% of all patients, but in 51.20% of those who underwent surgery.Conclusion: The prevalence of adolescent nasal fractures was significantly higher in boys, to a greater extent than observed for pediatric or adult fractures. The main causes of fractures were interpersonal violence and sports-related accidents. An explanation for these results is that adolescent boys are more prone to have violent accidents or companionship with active sports than other age or sex groups, leading to substantially more fractures.

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Rhinosurgery in children: developmental and surgical aspects of the growing nose

Cited by 18 publications

References 114 publications

Long‐Term Outcomes in Pediatric Midfacial Growth Following Expanded Endonasal Skull Base Surgery for Craniopharyngioma

Long‐Term Outcomes in Pediatric Midfacial Growth Following Expanded Endonasal Skull Base Surgery for Craniopharyngioma

Presurgical Orthopedic Treatment of a 3-Year-Old Child with Unoperated Complete Bilateral Cleft Lip and Palate and Protruding Premaxilla

Clinical characteristics of adolescent nasal bone fractures

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