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

Brain, D. J.; Rock, W P

doi:10.1097/00006534-198501000-00051

Cited by 6 publications

(10 citation statements)

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“…Die Autoren folgern, dass nur das Wachstum des Nasenr ü ckens durch die externe Rhinoplastik negativ h ä tte beeinfl usst sein k ö nnen. Seitliche R ö ntgenaufnahmen des Sch ä dels wurden auch dazu benutzt, Sp ä tfolgen eines Nasen-Traumas in der Kindheit zu dokumentieren und quantifi zieren [153] . Messungen auf diesen R ö ntgenaufnahmen bei 29 Erwachsenen haben eine reduzierte nasale Projektion sowie ein reduziertes vorw ä rts und kaudal gerichtetes Wachstum des Oberkiefers ergeben.…”

Section: Literaturunclassified

Rhinochirurgie bei Kindern: Entwicklungsphysiologische und chirurgische Aspekte der wachsenden Nase

Verwoerd

Verwoerd-Verhoef

2010

Laryngo-Rhino-Otol

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The anatomy of the nasal skeleton in newborns and adults are not alike. The complete cartilaginous framework of the neonatal nose becomes partly and gradually ossified during the years of growth and is more vulnerable to trauma in that period. Injury in the early youth may have large consequences for development of a nasal deformity which will increase during growth and reach its peak during and after the adolescent growth spurt. To understand more of the underlying problems of nasal malformations and their treatment (septoplasty) these items became the focus of multiple animal studies in the last 40 years. The effects of surgery on the nasal septum varied considerably, seemingly depending on which experimental animal was used. In review, however, it appeared that the very different techniques of surgery might be even more influential in this respect. Study of one of the larger series of experiments in young rabbits comprised skeletal measurements with statistical analysis and microscopic observations of the tissues. The behaviour of hyaline cartilage of the human nose appeared to be comparable to that of mammals. Cartilage, although resilient, can be easily fractured whereas its tendency to integrated healing is very low, even when the perichondrium has been saved. Also surgical procedures - like in septoplasty - may result in growth disturbances of the nasal skeleton like deviation or nasal spine. Loss of cartilage, as might occur after a septum abscess, is never completely restored despite some cartilage regeneration. In this article the many experimental studies are reviewed and compared. Still there remains a lack of real consensus in the literature concerning the developmental effects of rhinosurgry in children. Based on their observations in animals and a few clinical studies, mostly with small numbers of patients but with a long follow-up, the authors have compiled a list of guidelines to be considered before starting to perform surgery on the growing midface in children.

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Section: Literaturunclassified

Rhinochirurgie bei Kindern: Entwicklungsphysiologische und chirurgische Aspekte der wachsenden Nase

Verwoerd

Verwoerd-Verhoef

2010

Laryngo-Rhino-Otol

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“…One of the important risk factors of nasal septum deviation is a nose injury [3,4]. Adequate reduction of fracture of nasal bones causes no disturbances of nasal growth but sometimes leads to bone thickening and slight bulging of the bone at the side of the fracture [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

The nasal septum deformities in children and adolescents from Warsaw, Poland

Zielnik-Jurkiewicz

Olszewska-Sosińska

2006

International Journal of Pediatric Otorhinolaryngology

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“…Holton et al (2011a) found increased NSD in European compared with African-derived populations and associated this with the Bass (1987), except: a 100 3 GL/LB. Brain and Rock (1983) report no relationship between NSD and measures of facial height. Results from studies of relationships between NSD and measures of facial height have been rather inconsistent.…”

Section: Discussionmentioning

confidence: 86%

“…Freng et al (1988), found shorter palate length in NSD cases with nasal obstruction than in controls, and ascribed this to altered respiratory pattern with increased mouth-breathing. Brain and Rock (1983) reported shorter, less prognathic maxillae in cases of NSD due to past childhood nasal trauma but ascribed it to the direct influence of trauma upon the growing septum. Brain and Rock (1983) reported shorter, less prognathic maxillae in cases of NSD due to past childhood nasal trauma but ascribed it to the direct influence of trauma upon the growing septum.…”

Section: Discussionmentioning

confidence: 99%

Nasal septal deviation in a mediaeval population

Mays

2012

American J Phys Anthropol

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In modern populations, there is evidence that nasal septal deviation (NSD) may be associated with maxillary sinusitis, and that those with NSD may differ in craniofacial morphology from those without or with less severe NSD. Whether these associations hold true for earlier populations has yet to be investigated. The current work is a step toward remedying this. The study group comes from a mediaeval English archaeological site. NSD was quantified using image analysis. Maxillary sinusitis was identified from new bone formation in the antrum. Cranial morphology was assessed using standard craniometric measurements. The results provided no evidence for a relationship between NSD and maxillary sinus disease. NSD was associated with reduced measures of upper facial height, suggesting decoupling of growth in vertical height of the nasal septum and the bony structures surrounding it.

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

Cited by 6 publications

References 0 publications

Rhinochirurgie bei Kindern: Entwicklungsphysiologische und chirurgische Aspekte der wachsenden Nase

Rhinochirurgie bei Kindern: Entwicklungsphysiologische und chirurgische Aspekte der wachsenden Nase

The nasal septum deformities in children and adolescents from Warsaw, Poland

Nasal septal deviation in a mediaeval population

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