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September 1993

External Septorhinoplasty in ChildrenOutcome and Effect on Growth of Septal Excision and Reimplantation

Author Affiliations

From the Department of Otolaryngology (Drs Walker and Crysdale) and the Craniofacial Measurements Laboratory (Dr Farkas), Hospital for Sick Children, Toronto, Ontario, and the Departments of Otolaryngology (Dr Crysdale) and Surgery (Dr Farkas), University of Toronto.

Arch Otolaryngol Head Neck Surg. 1993;119(9):984-989. doi:10.1001/archotol.1993.01880210074010

Outcome and effect on nasal growth of external septorhinoplasty was evaluated in 32 children. All had septal disease anterior to the nasal spine. In all cases, the cartilaginous septum was totally excised, refashioned, and then reinserted. Sixteen children with follow-up for more than 2 years were identified. Nine children had preoperative and postoperative nasal airflow studies and demonstrated a reduction in total nasal airway resistance, from a mean untreated value of 6.1 cm of water per centimeter per second preoperatively to a mean of 2.5 cm of water per centimeter per second postoperatively. In 10 of these 16 children, six postoperative anthropometric measures and one index were determined, and these measurements were within the range of age- and sex-specific normative data from the Craniofacial Measurements Laboratory at the Hospital for Sick Children, Toronto, Ontario.

(Arch Otolaryngol Head Neck Surg. 1993;119:984-989)