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Nasal septal perforation in children: Presentation, etiology, and management

David T Chang1, Alexandria L Irace1, Kosuke Kawai2

  • 1Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.

International Journal of Pediatric Otorhinolaryngology
|December 26, 2016
PubMed

Insights

Pediatric nasal septal perforations, often caused by trauma, present with crusting and epistaxis. Surgical repair achieved successful closure in two-thirds of cases, but careful pre-operative assessment is crucial.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Rhinology

Background:

  • Nasal septal perforations are well-documented in adults, but limited data exists for pediatric cases.
  • Understanding pediatric nasal septal perforations is essential for appropriate management.

Purpose of the Study:

  • To review the presentation, etiology, management, and surgical outcomes of nasal septal perforations in children.
  • To identify factors influencing successful surgical repair in the pediatric population.

Main Methods:

  • Retrospective chart review of pediatric patients diagnosed with nasal septal perforations between 1998 and 2015.
  • Analysis of patient demographics, perforation characteristics, and treatment modalities.

Main Results:

  • Twenty-seven pediatric patients were included, with a mean age of 10.8 years.
  • Common presentations included nasal crusting (73%) and epistaxis (58%).
  • Etiologies included trauma (33%), iatrogenic causes (19%), and neoplasm (11%). Surgical repair had a 66.7% success rate.

Conclusions:

  • Digital nasal trauma is a frequent cause of pediatric septal perforations, with crusting as the primary symptom.
  • Pre-operative considerations for repair include symptomatology, etiology, comorbidities, and post-operative compliance.
  • Successful surgical closure was achieved in approximately two-thirds of pediatric patients undergoing repair.
Abstract

Keywords:
CauteryEpistaxisNasal traumaPediatric nasal septal perforation

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