The impact of Metzembaum septoplasty on nasal and facial growth in children

Abstract

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.

Objective: This study assesses the effects of the Metzenbaum septoplasty, which preserves the perichondrium and growth-related areas on nasal and facial growth in children.

Method: 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.

Results: 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.

Conclusion: 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.

Figure 1

Anatomical parameters used for facial analysis. n: Nasion; prn: Pronasale; sn: Subnasale; c’: Columella apex; al: Nasal wing, most lateral point; sn’: Columella lateral border; zy: Zygion; gn: Gnation; sto: stomion.

Figure 2

Cephalometric parameters used for facial analysis. S: Sella turcica; n: Nasion; ANS: Anterior nasal spine; PNS: Posterior nasal spine; A: Most concave point of the maxilla.

Figure 3

Mean and standard deviation distribution of the linear anthropometric measures in the late postoperative of patients submitted to the Metzenbaum septoplasty (n = 16).

Figure 4

Mean and standard deviation distribution of the proportional late post-operative anthropometric measurements of patients submitted to Metzenbaum septoplasty (n = 16).

Figure 5

Mean and standard deviation distribution of the late postoperative cephalometric measurements of the patients submitted to Metzenbaum septoplasty (n = 16).