Septorhinoplasty in the Pediatric Patient

Bhuskute, Aditi; Sumiyoshi, Mika; Senders, Craig W

doi:10.1016/j.fsc.2016.03.003

Cited by 14 publications

(16 citation statements)

References 24 publications

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“…Conversely, the sphenospinal zone, which extends from the sphenoid to the anterior nasal spine, appears to control the outgrowth of the maxilla [17]. Septal injury may cause permanent facial deformity by disrupting the growth of the center of the face [18]. In groups 1 and 2, frontal impact was more dominant than was lateral force.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of violence in pediatric and adolescent nasal fracture compared with adult nasal fracture: An 8-year study

Jeon

Kim

et al. 2019

Arch Craniofac Surg

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Background The epidemiology of nasal fractures varies according to factors such as the era and area of the study, as well as the age of the patient. We compared the characteristics and causes of pediatric nasal fractures. Methods A total of 2,321 patients with nasal fractures from 2010 to 2017 were examined. The patients were divided into age groups using the Korean school system of age classification. The causes of injury were divided into five groups: violence, fall or slip down, sports, road traffic accidents, and others. Fractures were classified using the Stranc and Robertson standard: vector of force and plane of fracture. Results Violence was the most common cause of nasal fracture in patients older than 12 years. Violence was a significantly less frequent cause among patients younger than 12 years old than among adolescent and adult patients. Nasal fractures due to violence were not observed in patients younger than 10 years. Plane 2 and lateral force fractures were the most common; however, in patients younger than 12 years, frontal force fractures were significantly more frequent than were lateral force fractures. Conclusion As children may simply be injured due to a fall or slip down, it is important for the parents and guardians to ensure their safety. As they become older, children should abstain from violence and be monitored. It is therefore very important to ensure that the environment is free of violence in order to prevent such injuries.

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Section: Discussionmentioning

confidence: 99%

Epidemiology of violence in pediatric and adolescent nasal fracture compared with adult nasal fracture: An 8-year study

Jeon

Kim

et al. 2019

Arch Craniofac Surg

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“…22 Animal studies show conflicting data on nasal and midfacial growth after nasal and/or septal surgery, but clinical data indicate effects on nasal and midfacial growth after septorhinoplasty with preservation of mucoperichondrium are minimal to negligible. 23,24 These data demonstrate that rhinoplasty including conservative septoplasty may safely be performed in the pediatric population. Indications for septorhinoplasty in the pediatric population include cleft lip and nasal deformity, traumatic injury resulting in clinically significant nasal airway obstruction, reconstruction after removal of a nasal lesion, sleep apnea, and chronic mouth breathing.…”

Section: Pediatric Patientsmentioning

confidence: 83%

The Crooked Nose: A Practical Guide to Successful Management

Block¹,

Pfaff²,

Harris³

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Learning Objectives: After studying this article, the participant should be able to: (1) Preoperatively evaluate the patient with a crooked nose. (2) Develop a comprehensive preoperative plan specific to the patient. (3) Effectively “deconstruct” and rebuild the crooked nose to address both aesthetic and functional concerns. (4) Use postoperative techniques to maximize outcomes. Summary: Correction of the crooked nose requires a detailed understanding of the relevant surgical anatomy, identification of the deforming forces—both intrinsic and extrinsic—contributing to the deformity, and knowledge of techniques needed to effect the desired change. This continuing medical education article takes the reader through the evaluation and formulation processes to develop a patient-specific plan and provides surgical pearls necessary to get the best results possible. Most importantly, this article emphasizes the need to treat the crooked nose as a reconstructive rather than routine aesthetic operation.

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“…For those patients who are older and have complete or near-complete maturation of the nose, septal cartilage is used. This bias is based on the literature warning that complete rhinoplasty with osteotomy and septal manipulation prior to complete nasal maturation may impair facial growth (Bhuskute et al, 2016). Further data have shown that nasal growth is complete at approximately 11 to 12 years of age in girls and 13 to 14 years of age in boys (Akguner et al, 1998).…”

Section: Discussionmentioning

confidence: 99%

“…In adult patients undergoing nasal surgery, septal cartilage is the graft of choice because of its accessibility and stability (Sajjadian et al, 2010b). However, in pediatric patients, the use of the nasal septum may impede nasal growth since the septum is one of the growth centers of the nose (Bhuskute et al, 2016). In addition, its use as a cartilage graft in children makes it unavailable in adults if additional nasal surgery is needed.…”

Section: Discussionmentioning

confidence: 99%

“…Nasal septal cartilage is the material of choice because of its accessibility during rhinoplasty, general shape, strength, ease of manipulation, and low extrusion rate (Sajjadian et al, 2010b). However, in pediatric cleft patients, the harvest of nasal cartilage may impede nasal growth and worsen the cleft nasal deformity (Mcdaniel et al, 2013; Bhuskute et al, 2016). Also, nasal septal cartilage in children is limited in quantity and its use at an early age may preclude its use in definitive cleft rhinoplasty after skeletal maturation.…”

Section: Introductionmentioning

confidence: 99%

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