Nasenchirurgie im Kindesalter

Diseases of the nose and paranasal sinuses in child

“…The magnitude of surgical intervention in children in nasal turbinate surgery is controversially discussed. Principally, the mild reduction of turbinate tissue is recommended in order to prevent postoperative growth defects as would be the case in radical septoplasty [ 49 ]. Other authors examined the partial or total turbinectomy in children at an age of 9–15 and under 16.…”

“…Weider and Sulzner published a study in 1998 stating a success rate of 89% after 94 months [ 54 ]. According to Stoll, a submucous turbinoplasty is indicated when in addition to a mucosal thickening a spongious swelling of the os turbinate is present [ 49 ], [ 55 ], [ 56 ].…”

Surgery of the turbinates and “empty nose” syndrome

“…As anterior turbinoplasty also represents a method for the preservation of mucosa, it can be recommended for use with children without having to anticipate any negative delayed effects [203]. …”

“…For this reason, gentle methods for reduction of the turbinate mucosa which may be repeated are recommended. Given the lack of scientific groundwork, Stoll regards extended resection as unacceptable [ 203 ].…”

“…There is an indication for submucosal turbinoplasty if in addition to a thickening of the mucosa, there is also a spongious prominence of the os turbinale. As anterior turbinoplasty also represents a method for the preservation of mucosa, it can be recommended for use with children without having to anticipate any negative delayed effects [ 203 ].…”