Nasal septal abscess in children: reconstruction with autologous cartilage grafts on polydioxanone plate

Archives of Otolaryngology--head & Neck Surgery
Dirk J MengerGilbert J Nolst Trenité

Abstract

To assess outgrowth and aesthetics of the nose in children after reconstruction of the cartilaginous nasal septum with autologous cartilage grafts on polydioxanone plate. Prospective nonrandomized case series. University hospital. Six patients (5 boys and 1 girl), aged 3 to 11 years, with nasal septal abscess. The nasal septa of 6 children with a history of nasal septal abscess and partial or complete destruction of nasal septal cartilage were reconstructed with autologous cartilage grafts of the auricle or rib fixed on polydioxanone plate. Nasal outgrowth was measured by the length of the nose and by the amount of nasal tip projection and was compared with standardized growth curves. Aesthetic outcome variables included nasolabial angle, columellar retraction, and development of saddle nose deformity and were classified as normal, mild, or severe. The duration of follow-up ranged from 10 to 68 months (mean follow-up, 38 months). Four children had complete loss of the cartilaginous septum. Areas 1 and 2 (caudal parts) had been destroyed in 2 children. Auricular cartilage was used in 5 children; costal cartilage was needed in 1 child. Compared with standardized growth curves, the length of the nose and the amount of nasal tip pr...Continue Reading

Citations

Apr 16, 2011·International Journal of Pediatric Otorhinolaryngology·Nada Alshaikh, Stephen Lo
Dec 1, 2015·Clinics in Plastic Surgery·Dirk Jan Menger
Jul 22, 2016·Singapore Medical Journal·Siang Yong Tan, Patricia Sims Poole
Aug 7, 2014·BMJ Case Reports·Hamish Edward GrahamFrancis W Stafford
Apr 19, 2011·Ear, Nose, & Throat Journal·Jordan Cain, Soham Roy
Sep 6, 2020·The Journal of Craniofacial Surgery·Ibrahim SayinSelcuk Gunes
Mar 12, 2021·The Journal of Craniofacial Surgery·Ibrahim SayinSelcuk Gunes

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