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Updated: Apr 12, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Demystifying septoplasty in children
Mariane Barreto Brandão Martins1, Rosa Grazielle de Lima1, Francis Vinícius Fontes de Lima1
1Department of Otorhinolaryngology, University Hospital, Faculty of medicine, Universidade Federal de Sergipe, São Cristóvão, SE, Brazil.
Insights
Early septoplasty in children corrects nasal septum deviation, preventing obligatory oral breathing and promoting normal craniofacial development and intellect. This surgical intervention is crucial for healthy growth.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Craniofacial Development
Background:
- Nasal septum deviation in children can lead to obligatory oral breathing.
- This altered breathing pattern may negatively impact craniofacial development and cognitive function.
- Early intervention is suggested to mitigate these potential consequences.
Purpose of the Study:
- To evaluate the outcomes of early septoplasty in pediatric patients.
- To assess the impact of correcting nasal septum deviation on craniofacial growth.
Main Methods:
- Retrospective study of 40 children under 12 years old who underwent septoplasty.
- Follow-up period extended up to 7 years post-surgery.
- Associated procedures included turbinate cauterization, adenotonsillectomy, and adenoidectomy.
Main Results:
- All 40 patients completed the study.
- 97.5% underwent concurrent inferior turbinate cauterization.
- 50% had adenotonsillectomy and 42.5% had adenoidectomy.
Conclusions:
- Early correction of nasal septum deviation is recommended for children.
- Timely surgical intervention supports harmonious facial growth.
- It enables normal child development without nasal deformity.
Abstract:
Introduction Septum deviation in children may alter the early physiologic process of breathing, causing obligatory oral breathing and consequently changing craniofacial development and even intellect. Because of these consequences, septoplasty should be performed as early as possible. Materials and Methods The retrospective study reviewed the results of septoplasty in 40 children under 12 years old who had follow-up after surgery for a maximum period of 7 years. The research was submitted to the ethics committee and approved with protocol number 10331912.0.0000.0058. Results Forty patients underwent septoplasty, 39 (97.5%) had cauterization of inferior turbinate and associated procedure, 20 (50%) had adenotonsillectomy, and 17 (42.5%) had adenoidectomy. Conclusion Nasal septum deviation should be corrected early to provide the harmonious growth of the face and to enable normal development of the child, without the occurrence of nasal deformity.
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