Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, Medical School of Ribeirão Preto, University of São Paulo, Avenida Bandeirantes no. 3900, Ribeirão Preto - SP, Brazil.
Braz J Otorhinolaryngol. 2013 Aug;79(4):454-9. doi: 10.5935/1808-8694.20130081.
Several studies have investigated the effects of septoplasty on facial growth in children, with conflicting results. However, just handful of those employed objective measures or evaluated patients after facial growth completion.
This study assesses the effects of the Metzenbaum septoplasty, which preserves the perichondrium and growth-related areas on nasal and facial growth in children.
We included those children submitted to surgery before the age of 14 and who had 16 years or years of follow up. Sixteen patients were selected. We evaluated the following parameters: clinical satisfaction (nasal patency and aesthetics), anthropometric measurements and cephalometry. Scientific design: cross-sectional historical cohort.
The mean age at surgery was 13 years, children were assessed on average 4.3 years after surgery. Only one patient had anthropometric and cephalometric values below normal, but no aesthetics or patency complaints. Four other patients complained about their nasal aesthetics and three had patency complaints.
The Metzenbaum septoplasty appears to be a safe technique to correct caudal septum deviations. This technique had no significant impact on facial growth of the patients assessed.
本研究评估了保留软骨膜和生长相关区域的 Metzenbaum 鼻中隔成形术对儿童鼻和面部生长的影响。
我们纳入了年龄在 14 岁以下且随访时间达到 16 年的患者。共选择了 16 名患者。我们评估了以下参数：临床满意度（鼻腔通畅和美学）、人体测量学和头影测量学。科学设计：回顾性队列研究。
手术时的平均年龄为 13 岁，术后平均随访 4.3 年。只有 1 名患者的人体测量学和头影测量学值低于正常值，但无美学或通畅抱怨。另外 4 名患者抱怨鼻部美学问题，3 名患者抱怨通气问题。
Metzenbaum 鼻中隔成形术似乎是一种安全的技术，可以纠正尾侧鼻中隔偏曲。这种技术对评估患者的面部生长没有显著影响。
