Sénéchal G, Sénéchal B, Soudant J, Lamas G
Service ORL, Hôpital de la Pitié, Paris.
Ann Otolaryngol Chir Cervicofac. 1988;105(4):265-70.
Confronted with nose malformations in children, surgeons experience at the same time a legitimate desire to rapidly attend to the altered anatomical structures, and a fear to aggravate the lesions existing initially by operating during a period of growth. Numerous animal experiments have not been conclusive as far as these two contradictory theses are concerned. In all cases, prudence remains mandatory, that is prudence towards the operational indications (important functional impairment), the date of the intervention (risk minimization with age), assessment of expected results (secondary malformations occurring even very late postoperatively).
面对儿童鼻部畸形问题，外科医生一方面有着迅速处理改变的解剖结构的合理愿望，另一方面又担心在生长阶段进行手术会加重原本存在的损伤。就这两个相互矛盾的观点而言，众多动物实验尚无定论。在所有情况下，谨慎仍然是必须的，即对手术指征（重要功能受损）、干预时间（随年龄将风险降至最低）、预期结果评估（即使在术后很晚才出现的继发性畸形）保持谨慎。
