The management of the recently acquired or old deviated obstructing septums in children is always difficult. The desire to be surgically conservative with the "growing nose" runs into the practical problem of attempting to relieve any nasal respiratory obstruction caused by the deviated septum. This is further complicated, on the one hand, by the desire to correct any external nasal deformity that might be present and, on the other, by the possibility of its occurrence as the result of surgery on the septum.
In order to better understand the reasons for or against surgery and the type of surgery to be performed in children with deviated septums, with or without external nasal deformities, it is necessary to understand the following:
The embryology and growth of the component parts of the nose.
The relative importance of each of these components in the maintenance and in the continuous growth projection
JOSEPH G. GILBERT, SAMUEL SEGAL. Growth of the Nose and the Septorhinoplastic Problem in Youth. AMA Arch Otolaryngol. 1958;68(6):673–682. doi:10.1001/archotol.1958.00730020697003