
Curvature of the nasal septum?
How to improve your breathing if you have a deviated septum
Good afternoon. Tell me how objective is the purpose of septoplasty surgery for an 11-year-old child. The local ENT insists on this quite seriously. Although almost everywhere they write about age restrictions.
Sincerely.
answers (2)
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Answer 1
January, 2021As a rule, such an operation is performed starting from the age of 16-17 (in boys), when the growth of the facial skeleton ends. The exceptions are cases when the curvature of the nasal septum leads to serious consequences. Your case probably applies to just such exceptions. If the causal relationship of the curvature with chronic sinusitis and apnea is proven, then this is an indication for surgery, despite the age of 11. The surgical technique at this age differs from the routine one.
Answer 2
January, 2021Good afternoon. Yes, indeed, many experts do not recommend resorting to septoplasty without special need due to the lack of formation of the osteochondral apparatus in children.
But again, age is not an exclusive contraindication for this type of surgery. (according to the latest data of the conference of the Society of Rhinologists of the Russian Federation)
You understand that first of all it is necessary to consider the objectivity of the appointment. If, during deformation of the septum, obstruction (blockage) of nasal breathing occurs, and it is associated with chronic pathologies of the nasopharyngeal region, then there is a need.
But if this is only a visual deviation, then it is better to postpone it. And monitor the dynamics of exacerbations of diseases of the nasal cavity until adolescence.
You should also know that the nasal septum is, in principle, curved (slight deformities) in all people - this is a normal anatomical imbalance (asymmetry ). Therefore, you should not take septoplasty as a panacea for all diseases of the nose - its purpose and application is very limited.
Sincerely, be healthy.
P.S. I ask you to clarify the concomitant diagnosis if you are interested in a more detailed answer. Most likely, the persistence of the appointment by a specialist is due not only to the sounded deformation?