External septorhinoplasty in children: Outcome and effect on growth of septal excision and reimplantation
P. J. Walker, W. S. Crysdale and L. G. Farkas
Department of Otolaryngology, Hospital for Sick Children, Toronto, Ontario.
Outcome and effect on nasal growth of external septorhinoplasty was
evaluated in 32 children. All had septal disease anterior to the nasal
spine. In all cases, the cartilaginous septum was totally excised,
refashioned, and then reinserted. Sixteen children with follow-up for more
than 2 years were identified. Nine children had preoperative and
postoperative nasal airflow studies and demonstrated a reduction in total
nasal airway resistance, from a mean untreated value of 6.1 cm of water per
centimeter per second preoperatively to a mean of 2.5 cm of water per
centimeter per second postoperatively. IN 10 of these 16 children, six
postoperative anthropometric measures and one index were determined, and
these measurements were within the range of age- and sex-specific normative
data from the Craniofacial Measurements Laboratory at the Hospital for Sick
Children, Toronto, Ontario.
