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Arch Otolaryngol Head Neck Surg. 1999;125:701-702.

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

FIRST OF ALL, I would agree with Manning that it is unusual to need to perform a septoplasty in a 3-year-old child with a severely deviated septum and symptomatic nasal obstruction resulting from blunt trauma 4 months previously. In the 13 years since 1986 (Dr Manning makes reference to an article¹ documenting a retrospective review of experience prior to that date), we have performed 248 septoplasties in children (Figure 1). Articles outlining the impact of this surgery (particularly external septoplasty) on growth,^2-3 patient selection,⁴ and surgical techniques⁵ used in this patient group have been published over the years. None of these children was younger than 6 years. I usually defer surgery until age 6 years for many reasons: First, at that age, one is able to perform a complete examination (including flexible endoscopy) to determine the exact cause of the nasal obstruction. Second, hospitalization, packing removal, and suture . . . [Full Text of this Article]

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