Open Rhinoplasty in Children

Dennis, Simon C. R.; Herder, Cindy den; Shandilya, M.; Trenité, Gilbert J. Nolst

doi:10.1055/s-2007-995818

Cited by 20 publications

(10 citation statements)

References 13 publications

(14 reference statements)

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“…In dealing with septal abscesses in children and adults, some authors have gone so far as to recommend drainage via an external rhinoplasty approach followed by immediate reconstruction of the septum with autogenous conchal cartilage sutured to polydioxanane (PDS) foil (Ethicon, Somerville, NJ). 23 The diagnosis of a nasal fracture can usually be made by history and physical examination alone, thereby precluding the need for routine diagnostic imaging studies. However, in some cases where examination is limited, plain films in a lateral nasal projection and Water's view at 30 to 45 degrees can help identify bony fractures.…”

Section: Clinical Evaluationmentioning

confidence: 99%

Pediatric Nasal Injuries and Management

2011

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Although serious trauma injuries are uncommon in the pediatric population, nasal injuries are a more common problem. In this population, many physicians are uncomfortable managing these injuries. The evaluation and treatment of nasal trauma differ considerably in children compared with adult nasal fractures. Poor patient cooperation during the physical exam coupled with significant anatomic differences can present the nasal surgeon with a difficult diagnostic dilemma. The surgical management of pediatric nasoseptal injuries is not without controversy, as disturbing the nasal growth centers can have significant effect on future nasal and midfacial development. This article reviews the diagnostic and therapeutic challenges presented by these injuries for children and provides recommendations to successfully manage nasal injuries in this population.

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Section: Clinical Evaluationmentioning

confidence: 99%

Pediatric Nasal Injuries and Management

2011

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“…The choice of therapeutic strategy for nasal reconstruction in the child remains highly controversial [1][2][3][4][5], particularly with respect to the optimal age for performing the procedure. The critical point is whether early or late reconstruction is the better therapeutic choice.…”

Section: Discussionmentioning

confidence: 99%

Assessment of subtotal nasal reconstruction in a child after 6 years of follow-up

Perrot¹,

Duteille²

2012

Journal of Pediatric Surgery

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“…Revision rhinoplasty rates are higher in children compared to adults . Open rhinoplasty is the preferred technique due to avoidance of interrupting the cartilaginous nasal skeleton . Timing of surgery is controversial, with most surgeons traditionally waiting until females reach age 14 and males reach age 16 to avoid negatively impacting growth .…”

Section: Introductionmentioning

confidence: 99%

“…4 Open rhinoplasty is the preferred technique due to avoidance of interrupting the cartilaginous nasal skeleton. 5 Timing of surgery is controversial, with most surgeons traditionally waiting until females reach age 14 and males reach age 16 to avoid negatively impacting growth. 3 However, there has been more recent evidence that ultimate facial proportions are not adversely affected by pediatric nasal surgery.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Rhinoplasty: A national surgical quality improvement program analysis

2018

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Objectives Rhinoplasty is commonly performed in children with congenital anomalies and resultant nasal deformity causing airway obstruction. Little is known regarding patient factors or perioperative sequelae. We define demographic characteristics and perioperative complications for children undergoing rhinoplasty within a large national cohort. Study Design Retrospective cohort study of children aged ≤ 18 years undergoing rhinoplasty utilizing data from the 2012 to 2015 American College of Surgeons National Surgery Quality Improvement Program‐Pediatric public use file. Methods All children who underwent rhinoplasty were identified. Postoperative complications were defined as 30‐day postoperative infection, unplanned readmission and reoperation, and death. Multivariate logistic regression was used to identify predictors of complications. Subgroup analysis was performed based on child age (age < 5 years vs. 5–13 years vs. ≥ 14 years). Results Of 1,378 children undergoing rhinoplasty, 21(1.52%) children experienced complications, with the most common being unplanned readmission. Younger children were more likely to experience complications (3.79% aged < 5 years vs. 0.66% aged ≥ 14 years; P = 0.001). Using multivariate logistic regression analysis, we observed a 61% decreased odds of complication with each age group (odds ratio 0.39, 95% confidence interval 0.19, 0.77; P = 0.007). Younger children were more likely to be male (56.2% male aged < 5 years vs. 46.6% male aged ≥ 14 years; P = 0.011), have developmental delay (11.7% aged < 5 years vs. 3.65% aged ≥ 14 years; P < 0.001), and have craniofacial abnormalities (73.2% aged < 5 years vs. 42.1% aged ≥ 14 years; P < 0.001). Conclusion Children undergoing rhinoplasty experience few major complications, with the most common being unplanned readmission. Younger children are at greater risk and are more likely to be male with craniofacial abnormalities. Level of Evidence 4 Laryngoscope, 129:494–499, 2019

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Open Rhinoplasty in Children

Cited by 20 publications

References 13 publications

Pediatric Nasal Injuries and Management

Pediatric Nasal Injuries and Management

Assessment of subtotal nasal reconstruction in a child after 6 years of follow-up

Pediatric Rhinoplasty: A national surgical quality improvement program analysis

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