Giovacchini Francesco, Monarchi Gabriele, Mitro Valeria, Gilli Massimiliano, Tullio Antonio
Department of medicine, Section of maxillo-facial surgery, University of Siena, Viale Bracci, Siena, 53100 Italy.
Department of Maxillo-Facial Surgery, Hospital of Perugia, Sant'Andrea delle Fratte, Perugia, 06132 Italy.
Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):2438-2443. doi: 10.1007/s12070-022-03364-y. Epub 2023 Apr 8.
Congenital and pediatric nasal lesion resection and their reconstructive outcomes are not well studied. A surgeon must consider the site, depth, size, age, etiology and effect on future function (including growth). The path of total reconstruction or of portions of the cartilaginous / cutaneous nasal structure in the pediatric patient must undergo a series of totally different needs with respect to the management of the adult. First of all, it is essential to understand at what age to intervene, given that the child in the growth phase up to adolescence sees the nasal skeleton change significantly and in relation to the possible psychological repercussions that the tissue deficit can cause. This path will often require serious interventions in order to recreate a structure that is aesthetically ideal, functionally effective and finally suitable for the growth phase of the rest of the body and facial structures.
The online version contains supplementary material available at 10.1007/s12070-022-03364-y.
先天性和小儿鼻腔病变切除及其重建效果尚未得到充分研究。外科医生必须考虑病变的部位、深度、大小、年龄、病因以及对未来功能（包括生长）的影响。小儿患者鼻腔软骨/皮肤结构全部或部分重建的路径，在管理方面与成人有着一系列完全不同的需求。首先，了解干预的年龄至关重要，因为处于生长阶段直至青春期的儿童，其鼻骨架会发生显著变化，而且组织缺损可能会造成心理影响。这条重建路径通常需要进行认真的干预，以重建一个在美学上理想、功能上有效的结构，最终使其适合身体其他部位和面部结构的生长阶段。
在线版本包含可在10.1007/s12070-022-03364-y获取的补充材料。
