Septoplasty in Children

Cingi, Cemal; Muluk, Nuray Bayar; Ulusoy, Seçkin; Лопатин, А С; Şahin, Ethem; Passàli, Desiderio; Bellussi, Luisa; Atilla, Huntürk; Hancı, Deniz; Altıntoprak, Niyazi; Rusetski, Yuri; Sarafoleanu, Codruț; Mladina, Ranko; Kalogjera, Livije; Manea, Claudiu

doi:10.2500/ajra.2016.30.4289

Cited by 44 publications

(62 citation statements)

References 34 publications

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“…Rhinoplasty performed in children is unique because the majority of procedures are done for functional and reconstructive rather than cosmesis reasons. Indications for pediatric rhinoplasty include congenital malformations (e.g., cleft lip and palate, dermoid cyst, hemangioma), traumatic deformities, septal abscess causing external deformity, and septal deviation causing nasal obstruction …”

Section: Introductionmentioning

confidence: 99%

“…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 . However, there has been more recent evidence that ultimate facial proportions are not adversely affected by pediatric nasal surgery …”

Section: Introductionmentioning

confidence: 99%

“…Indications for pediatric rhinoplasty include congenital malformations (e.g., cleft lip and palate, dermoid cyst, hemangioma), traumatic deformities, septal abscess causing external deformity, and septal deviation causing nasal obstruction. 1 There are special considerations for pediatric rhinoplasty. The main growth center of the midface is the cartilaginous nasal septum; therefore, loss of the septodorsal cartilage during trauma or septorhinoplasty can result in perceptible facial abnormalities as children continue to grow.…”

Section: Introductionmentioning

confidence: 99%

“…3 However, there has been more recent evidence that ultimate facial proportions are not adversely affected by pediatric nasal surgery. 1,3,[6][7][8] Well-described complications of pediatric rhinoplasty include poor cosmetic result, nasal obstruction, and epistaxis. 4,9,10 However, research on pediatric rhinoplasty outcomes has been limited by small sample size, single institution studies, and inadequate information on procedural safety and quality.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pediatric Rhinoplasty: A national surgical quality improvement program analysis

2018

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“…Pediatric sinonasal surgery remains a controversial topic, and this issue of AJRA adds to the discussion. Hamilos 17 reviews the role of problem-based learning in teaching students about pediatric CRS, Yenigun et al 18 assess the role of the eosinophil-to-lymphocyte ratio in evaluating pediatric patients with rhinitis, and Cingi et al 19 try to assess the youngest age at which septoplasty can safely be performed. All these are interesting articles that will certainly stimulate discussion in pediatric circles.…”

mentioning

confidence: 99%

Inverted Papilloma: The Stubbornly Persistent Tumor of the Sinonasal Cavity

Rotenberg¹

2016

Am J Rhinol�Allergy

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Septoplasty Revision Rates in Pediatric vs Adult Populations

Shah

Youn

Wei

et al. 2022

JAMA Otolaryngol Head Neck Surg

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ImportanceAlthough septal deviations are highly prevalent in the pediatric population and pediatric septoplasties are garnering more discussion, to date, there are no large-scale studies characterizing pediatric septoplasty revision rates.ObjectiveTo identify rates of pediatric septoplasty revision in the US.Design, Setting, and ParticipantsThis retrospective, observational cohort study used administrative claims data from the IBM MarketScan Commercial Database (which contains inpatient and outpatient data for millions of patients and dependents covered by employer-sponsored private health insurance in the US) to identify patients undergoing septoplasty between January 1, 2007, and December 31, 2016. Patients 18 years or younger were included in the study as the pediatric cohort, and patients aged 19 to 65 years were included as the adult cohort for comparison. Patients were excluded if the initial surgery included rhinoplasty, nasal vestibular stenosis, or costal cartilage grafts or if the second surgery did not have nasal vestibular stenosis, septoplasty, rhinoplasty, and/or cartilage grafts.Main Outcomes and MeasuresOutcomes included septoplasty revision rate, septoplasty-to-rhinoplasty conversion rate, and associated risks for revision surgery. Collected data were analyzed between January 1 and July 30, 2022ResultsA total of 24 322 pediatric patients (mean [SD] age, 15.7 [2.5] years; 15 121 boys [62.2%]) who underwent an initial septoplasty were identified, of whom 704 (2.9%) received a revision. In the adult cohort of 286 218 patients (mean [SD] age, 41.4 [12.2] years; 162 893 [56.9%] men), 3081 individuals (1.1%) received a revision. Within the pediatric revision group, 66 patients (9.4%) received a rhinoplasty vs 162 (5.3%) in the adult revision group. All pediatric age groups had higher revision rates than the adult population, with the 9- to 13-year-old group having the highest rates of revision (118 of 2763 [4.3%]). Patients in the West and Northeast, along with those with point of service and health maintenance organization health plans, were more likely to receive a revision.Conclusion and RelevanceThe findings of this cohort study suggest that pediatric patients are more likely to receive a revision surgery than their adult counterparts. Furthermore, pediatric patients are more likely than adults to receive a rhinoplasty as their revision surgery. These findings provide valuable information that may be used to inform clinical decision-making, although further research is needed to better identify the causes for pediatric septoplasty revision.

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Septoplasty in Children

Abstract: If there are severe breathing problems related to the septal deviation, septoplasty should be performed. In the majority of cases, septal surgery may be conducted in 6-year-old children. However, if necessary, septal surgery may be performed in younger children and even at birth.

Cited by 44 publications

References 34 publications

Pediatric Rhinoplasty: A national surgical quality improvement program analysis

Pediatric Rhinoplasty: A national surgical quality improvement program analysis

Inverted Papilloma: The Stubbornly Persistent Tumor of the Sinonasal Cavity

Septoplasty Revision Rates in Pediatric vs Adult Populations

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