ABSTRACT
I. Introduction 127
II. Specific Anatomy of the Infant Nose 128
III. Postnatal Development of the Nose 132
IV. Mechanisms of Facial Development 135
V. Nasal and Facial Development After Loss of Septal Cartilage 137
VI. Biomechanical Properties of the Growing Septal Cartilage in
Relation to Wound Healing After Trauma 138
VII. Septal Deviations 139
VIII. Preferred Fracture Lines 140
IX. Neonatal Septal Deviations 140
X. Developmental Aspects of Septal Correction: Conclusions from
Morphological and Experimental Studies 141
XI. Concluding Remarks 143
Acknowledgments 143
References 143
I. Introduction
In most textbooks of otorhinolaryngology little attention is paid to development
of the nasal septum in children with respect to nasal surgery. The child-specific
features of the nasal septum were disregarded as it was generally accepted to
postpone septo(rhino)plasty in children until the young patient had reached the
age of 16 years and nasal growth had dropped to a minimum. This “tradition”
was based on numerous reports of defective growth of the nose after partial sub-
mucous septal resection at a young age.