The influence of nasal trauma during childhood on growth of the facial skeleton

Correlation of asymmetric facial growth with deviated nasal septum

“…For example, it has been demonstrated that the nasal septum plays an important direct role in the growth of the premaxilla and an indirect role in the growth of the maxilla 11. Animal studies demonstrate that a variety of surgical operations performed on the nasal septum in young rabbits often resulted in a marked retardation of growth in the nose and upper jaw, along with gross orthodontic abnormalities 12. Comparison within and between twins with different septal deformities indicated that the cartilaginous nasal septum influences the development of the nose and the anteroposterior dimensions of the maxilla 13.…”

“…In the current study, it is not possible to determine whether the difference in facial growth between the right and left side caused the septal deviation or whether the septal deviation affected the asymmetric facial growth or development. Several authors have demonstrated that the nasal septum has major influence on facial development 11–13. To minimize the effect of septal deviation on facial growth, only patients with no history of trauma were included in our study.…”

Rhinosurgery in children: developmental and surgical aspects of the growing nose

“…Lateral skull radiographs have also been used to document and quantify late effects of nasal trauma during childhood [154]. Measurements on these radiographs in 29 adults demonstrated a reduced angle of nasal projection and a reduced downward and forward growth of the maxilla were observed.…”

Nasal septal deviation and craniofacial asymmetries

“…Brain and Rock (1983) came to similar conclusions when they studied children who needed to undergo nasal septoplasty due to previous nasal trauma leading to septal deviation. They reported that there was a reduction in the downward and forward growth of the midface with those suffering septal trauma at an early age (Brain and Rock 1983).…”

“…However, they noted that in these individuals, the later the age of the loss of the nasal septum correlated with less prominent negative effects on midfacial growth (Pirsig 1984). Brain and Rock (1983) came to similar conclusions when they studied children who needed to undergo nasal septoplasty due to previous nasal trauma leading to septal deviation. They reported that there was a reduction in the downward and forward growth of the midface with those suffering septal trauma at an early age (Brain and Rock 1983).…”