H. CALHOUNKARENMDB. KUPPERSMITHRONALDMD
MANNING has presented a contemporary, unbiased review of the controversy surrounding the management of a young child with a severely deviated septum and airway obstruction. I concur with his view that nasal airway obstruction substantial enough to require septoplasty in a 3-year-old is a relatively rare occurrence. I would add that a young child with substantial upper airway obstruction who has a nasal septal deviation should be thoroughly examined for other potential sources of obstruction (ie, hypertrophied adenoids) prior to undergoing septoplasty.
Derkay CS. A Conservative Role for Septoplasty in Young Children. Arch Otolaryngol Head Neck Surg. 1999;125(6):702-703. doi:10.1001/archotol.125.6.702