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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Open rhinoplasty in children.
Simon C R Dennis1, Cindy den Herder, Munish Shandilya
1Department of ENT Surgery, Portsmouth Hospitals NHS Trust, Queen Alexandra, Portsmouth, UK.
Facial Plastic Surgery : FPS
|December 19, 2007
Summary
Open rhinoplasty in children preserves nasal growth by keeping the cartilaginous skeleton intact. This approach is beneficial for conditions like dermoid cysts and cleft lip noses, minimizing growth disturbances.
Area of Science:
- Pediatric Plastic Surgery
- Craniofacial Surgery
- Otolaryngology
Background:
- Septorhinoplasty in children poses risks of nasal and premaxilla growth disturbances.
- The open (external) rhinoplasty approach offers advantages for pediatric nasal surgery.
Purpose of the Study:
- To discuss the indications, advantages, disadvantages, and operative techniques of open rhinoplasty in children.
- To illustrate the application of open rhinoplasty in pediatric cases.
Main Methods:
- Review of indications for open rhinoplasty in pediatric patients.
- Discussion of surgical technique focusing on preserving the cartilaginous nasal skeleton.
- Case examples illustrating specific indications such as dermoid cysts and cleft lip noses.
Main Results:
- The open approach maintains the integrity of the cartilaginous nasal skeleton, reducing growth disturbance risk.
- Absolute indications include dermoid cysts, cleft lip noses, and septal abscesses.
- Relative indications involve severe nasal airway obstruction and progressive nasal distortion due to septal deviations.
Conclusions:
- Open rhinoplasty is a viable technique in children, particularly for specific congenital and acquired nasal deformities.
- Preservation of the cartilaginous framework is key to minimizing adverse effects on facial growth.
- Careful patient selection based on established indications ensures optimal outcomes in pediatric septorhinoplasty.
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