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Review
. 2025 Aug 6;14(15):5537.
doi: 10.3390/jcm14155537.

Pediatric Septoplasty: Benefits, Challenges, and Clinical Recommendations-Comprehensive Review of Young ESPO

Jakub Zieliński  1 , Sara Costa  2 , Maryana Cherkes  3 , Natalia Glibbery  4 , Petra Kovács  5 , Luiza Mitrea-Sirețeanu  6 , Marek Ciller  7 , Miray-Su Yılmaz Topçuoğlu  8
Affiliations
Review

Pediatric Septoplasty: Benefits, Challenges, and Clinical Recommendations-Comprehensive Review of Young ESPO

Jakub Zieliński et al. J Clin Med. .

Abstract

This comprehensive review examines the role of septoplasty in the pediatric population, emphasizing its therapeutic significance in relieving nasal obstruction and facilitating normal craniofacial growth. Despite the evident advantages of septoplasty, its application in young patients remains a subject of ongoing debate. This issue is primarily characterized by concerns regarding the still-developing immaturity of nasal cartilage, potential intraoperative and postoperative risks, and the current absence of robust data on long-term outcomes following septoplasty. Common complications such as bleeding, septal perforation, saddle nose deformity, and persistent nasal obstruction are reported in the literature; however, many studies lack long-term follow-up data on the incidence of these adverse events and revision rates, which may be higher compared to adult populations, often leading to the need for secondary surgical interventions. Strict inclusion criteria and comprehensive patient selection are paramount to maximize therapeutic success while minimizing complications. Current evidence suggests that appropriately indicated septoplasty can improve airway patency, support optimal facial development, and reduce the risk of secondary sinonasal pathology. There is a significant necessity for additional prospective, large-scale studies to establish standardized therapeutic guidelines and management strategies for this specific population, thereby ensuring effective and evidence-based pediatric otolaryngologic care.

Keywords: congenital septal anomalies; pediatric; pediatric surgery; septoplasty.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Distribution of preoperative symptoms. The pie chart shows the distribution of preoperative symptoms that led to the indication for pediatric septoplasty in the papers that were included in this study and discussed preoperative symptoms (n = 13).
Figure 2
Figure 2
Distribution of preoperative diagnostics. The pie chart shows the distribution of preoperative symptoms that led to the indication for pediatric septoplasty in the papers that were included in this study and discussed preoperative symptoms (n = 13).
Figure 3
Figure 3
Reported complication types across the reviewed studies.
Figure 4
Figure 4
Revision rates across the reviewed studies.
See this image and copyright information in PMC

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