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Arch Otolaryngol Head Neck Surg. 1999;125:699-701.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Hypothesis:

The optimal treatment of a 3-year-old child with a severely deviated septum and symptomatic nasal obstruction resulting from blunt trauma 4 months previously is septoplasty.

Figure appears in full text version. Scott C. Manning, MD

CON

Otolaryngologists recognized more than 100 years ago that radical surgery or severe injury to the pediatric nasal septum could result in substantial abnormalities of nasal and maxillary growth. Starting in the mid-1800s, studies of young pigs, rabbits, goats, dogs, and cats have shown consistently that removal of full-thickness portions of the growing nasal septum can lead to growth retardation of the palate, nasal dorsum, maxilla, and premaxilla and to malocclusion. This observation contributed to the view that the vomeroseptal junction was an important nasal growth center and that, in general, septal surgery should be avoided in young children.

Human studies of pediatric patients undergoing septorhinoplasty are confounded by the previous traumatic injury presumably leading to the septal deviation and by the . . . [Full Text of this Article]

PRO

BOTTOM LINE

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