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April 1997

Septoplasty in Children-Reply

Author Affiliations

Toronto, Ontario

Arch Otolaryngol Head Neck Surg. 1997;123(4):449. doi:10.1001/archotol.1997.01900040101016

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While I agree with Yilmaz's admonition that surgery "should be as atraumatic as possible," I disagree that "hemitransfixion-transfixion incision should be chosen whenever septoplasty is indicated for a child." Age is not really the issue—the location of the nasal septal deviation is. It is obvious, as a result of numerous patient reviews, that significant anterior nasal septal deviation cannot be adequately dealt with (ie, good functional result leaving adequate amounts of cartilage for long-term support of the nasal dorsum with no interference of subsequent growth) using an internal approach. In other words, the operation needs to be tailored to fit the location of the deviation in the cartilage. The purpose of the article was to report that this procedure can be performed safely in children. To try to further satisfy the question of the impact of surgery on growth, we now have data on 25 children who had

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