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Does pediatric septoplasty compromise midfacial growth? A systematic review

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European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Objective

Septal deviation is an important cause of impaired nasal breathing among pediatric patients. A widespread solution to septal deviation is septoplasty. However, there are certain controversies surrounding the effect of this technique on pediatric patients and its influence on the growth centers of the nose. The objective of this review is to study if there is a strong and valid evidence in the literature that supports a detrimental effect of pediatric septo- and rhinoseptoplasty in facial growth

Data sources

Pubmed (Medline), the Cochrane Library, EMBASE and Trip Database.

Review methods

The outcome assessed was the midfacial growth after pediatric septoplasty.

Results

Eight publications met the inclusion criteria. None found major disturbances in facial growth. Only minor nasal anomalies were reported by 4 authors.

Conclusion

Septoplasty in pediatric patients does not seem to affect midfacial growth according to available evidence. However, due to their design, the degree of recommendation of these studies was not superior to level C.

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Authors and Affiliations

  1. Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS) Study Group, Paris, France

    Christian Calvo-Henríquez, Carlos Chiesa-Estomba, Jerome R. Lechien, Miguel Mayo-Yáñez & Gabriel Martinez-Capoccioni

  2. Service of Otolaryngology, Travesía de Choupana, Hospital Complex of Santiago de Compostela, s/n. 15706, Santiago de Compostela, Spain

    Christian Calvo-Henríquez, Gabriel Martinez-Capoccioni & Carlos Martin-Martin

  3. Department of Facial Plastic Surgery - My Face Clinics and Academy, Lisbon, Portugal

    J. Carlos Neves & Diego Arancibia-Tagle

  4. Service of Otolaryngology, Donostia University Hospital, San Sebastian, Spain

    Carlos Chiesa-Estomba

  5. Foch Hospital, University of Paris Saclay, Paris, France

    Jerome R. Lechien

  6. Service of Otolaryngology, Hospital Complex of La Coruña, La Coruña, Spain

    Miguel Mayo-Yáñez

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  1. Christian Calvo-Henríquez
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Calvo-Henríquez, C., Neves, J.C., Arancibia-Tagle, D. et al. Does pediatric septoplasty compromise midfacial growth? A systematic review. Eur Arch Otorhinolaryngol 277, 1565–1574 (2020). https://doi.org/10.1007/s00405-020-05919-7

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  • DOI: https://doi.org/10.1007/s00405-020-05919-7

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