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Updated: Jun 23, 2026
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Management of naso-septal deformity in childhood: long-term results
Francesco Dispenza1, Carmelo Saraniti, Daniela Sciandra
1Dipartimento Scienze Otorinolaringoiatriche, Università degli Studi di Palermo, Italy. francesco.dispenza@poste.it
Insights
Surgical correction of pediatric naso-septal deformities is recommended over conservative approaches. Combining septoplasty and rhinoplasty in a single stage yields superior long-term aesthetic and functional outcomes for nasal obstruction.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Plastic Surgery
Background:
- Conservative management of pediatric naso-septal deformities may be inadequate, particularly when causing nasal obstruction.
- Prompt surgical intervention is crucial for optimal outcomes in growing children.
Purpose of the Study:
- To identify appropriate surgical selection criteria for pediatric naso-septal deformities.
- To determine the most effective surgical technique for these conditions.
Main Methods:
- A retrospective review of 46 pediatric cases with post-traumatic septal and naso-septal deformities.
- Mean follow-up period of 10 years.
Main Results:
- Septoplasty alone resulted in worsening of nasal pyramid deformity.
- Combined septorhinoplasty led to favorable aesthetic and functional results in the long term.
Conclusions:
- Simultaneous correction of nasal septum and pyramid deformities in a single stage is optimal.
- Delayed management of nasal pyramid deformity after isolated septal correction leads to poorer outcomes.
Objective:
The classical teaching advocates a conservative approach for children presenting with various naso-septal deformities. It may not be appropriate especially when it causes nasal obstruction to the growing child. This study has two main purposes: to contribute in identifying the correct selection criteria for surgical management of pediatric patients and in selecting the most appropriate surgical technique.
Material And Method:
We reviewed a series of 46 cases of post-traumatic septal and naso-septal deformity not managed promptly or with recurrence of nasal deviation, following bones fracture correction alone. The mean follow-up was 10 years.
Results:
Patients with naso-septal deformity managed only by septoplasty had accentuation of nasal pyramid deformity; those treated by septorhinoplasty showed a good aesthetic and functional result after long-term follow-up.
Conclusion:
Our series results demonstrated that the best results were obtained when we correct all evident alterations of nasal septum and pyramid at a single stage. Unsuccessful results seen in our first group suggest that immediate correction of septum alone with delayed management of nasal pyramid deformity leads to a poorer outcome.
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