Study Examines Corrective Nasal Surgery in Younger Patients

Nasal corrective surgery can be safely performed on children who have nasal cavity blockage or deformity prior to adolescence, according to a study by Ealam Adil, M.D., M.B.A., of the Penn State University, Milton S. Hershey Medical Center, Hershey, Pa., and colleagues.

In the past, physicians had been cautioned not to perform surgery on the noses of pediatric patients because of potential damage to the nasal growth centers, according to the study background.

The authors reviewed medical charts of male patients under 16 years old (n=39) and female patients under 14 years old (n=15) who were treated by one of the authors for corrective nasal surgery between 1996 and 2012.

The most common reasons for surgery were deformity from trauma and severe airway obstruction. The average follow-up period was about 21 months and no patients needed a revision procedure for unsatisfactory results.

“We believe that nasal surgery can be performed safely in selected younger pediatric patients,” the study authors conclude. “Goals of surgery should be conservative and aim to maintain the pre-existing structural framework, to restore form and function, and to maintain or reconstruct the projection of the nose including dorsal height and the tip projection and position.”

(JAMA Facial Plast Surg. Published online February 6, 2014. doi:10.1001/jamafacial.2013.2302.