Our Summary

This research paper examines the risks and after-surgery complications for children who undergo septoplasty, a surgical procedure to straighten a deviated septum in the nose. The study used a database to review the cases of 729 children who had this surgery from 2018 to 2019.

The average age of these patients was about 16, with the majority of them being older than 12. The study found that the age at the time of surgery did not significantly affect the outcomes.

After-surgery complications were rare, happening in only 0.6% of cases. These included the need for readmission, septic shock (a severe infection), and infection at the site of the surgery. The study did find that children with a history of asthma or a higher body mass index (BMI) had a higher risk of complications.

The paper concludes that complications within 30 days after the surgery are infrequent. However, it emphasizes that there are essential considerations when deciding on this surgery for children, including the child’s age, the complex structure of the nose, and the surgical technique. More research is needed on these factors.

FAQs

  1. What is the average age of children who undergo septoplasty?
  2. What complications can occur after a child has septoplasty?
  3. Does the age at the time of surgery significantly affect the outcomes of a septoplasty?

Doctor’s Tip

A helpful tip a doctor might tell a patient about septoplasty is to follow all post-operative care instructions carefully, including keeping the nasal passages moist with saline spray, avoiding strenuous activity, and attending all follow-up appointments. It is also important to report any unusual symptoms or signs of infection to your healthcare provider promptly.

Suitable For

Patients who are typically recommended septoplasty are those who have a deviated septum causing symptoms such as difficulty breathing, chronic sinus infections, nasal congestion, or frequent nosebleeds. Septoplasty may also be recommended for patients with nasal deformities or obstructions that affect their quality of life.

In the case of children, septoplasty may be recommended if the child is experiencing symptoms such as chronic nasal congestion, difficulty breathing through the nose, or recurrent sinus infections that are not relieved by other treatments. In some cases, septoplasty may be recommended for children with nasal deformities or obstructions that affect their growth and development.

It is important for patients considering septoplasty to discuss their symptoms and medical history with a qualified healthcare provider to determine if they are a suitable candidate for the surgery. Additionally, patients should be aware of the potential risks and complications associated with septoplasty and weigh these factors carefully before undergoing the procedure.

Timeline

Before the septoplasty surgery, a patient may experience symptoms such as difficulty breathing through the nose, nasal congestion, frequent nosebleeds, and facial pain or pressure. They may also have a deviated septum, which can be diagnosed through a physical examination or imaging tests.

After the surgery, patients may experience some discomfort, swelling, and bruising in the nose and face. They may also have nasal packing or splints in the nose to support the septum as it heals. Patients will typically need to follow post-operative care instructions, such as avoiding strenuous activities, keeping the head elevated, and taking prescribed medications for pain and to prevent infection.

In the weeks following the surgery, patients should gradually start to feel improvements in their breathing and nasal congestion. It may take several months for the full effects of the surgery to be realized as the nasal tissues heal and the septum straightens. Regular follow-up appointments with the surgeon will be necessary to monitor progress and address any concerns.

What to Ask Your Doctor

Some questions a patient should ask their doctor about septoplasty include:

  1. What is the success rate of septoplasty in children?
  2. What are the potential risks and complications associated with septoplasty in children?
  3. How will the surgery be performed and what is the expected recovery time?
  4. Are there any long-term effects or potential complications to be aware of after the surgery?
  5. How will my child’s age and medical history impact the outcome of the surgery?
  6. What are the alternatives to septoplasty for treating a deviated septum in children?
  7. How often will follow-up appointments be necessary after the surgery?
  8. Are there any specific instructions or precautions my child should follow before and after the surgery?
  9. How can we ensure that the surgical team has experience and expertise in performing septoplasty on children?
  10. Are there any specific factors or conditions that may increase the risk of complications for my child during or after the surgery?

Reference

Authors: Benyo S, Moroco AE, Saadi RA, Patel VA, King TS, Wilson MN. Journal: Ann Otol Rhinol Laryngol. 2023 Sep;132(9):1050-1058. doi: 10.1177/00034894221129677. Epub 2022 Oct 12. PMID: 36226335