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.