Postnatal Development of the Human Nasal Septum and its Related Structures: An anatomical, radiological and histlogical study

The otorhinolaryngologist who is regularly confronted with nasal obstruction in children, finds himself supported by sophisticated diagnostic imaging (e.g. CT- and MRI-scanning) and makes use of similarly sophisticated surgical approaches and techniques. It is the latter, which lies at the root of a tendency to carry out surgical interventions in the nasal region, inclusive of correction of nasal septum deviation, at an even younger age. This has raised the question for nasal surgery of the consequences for growth and development of the young and still rapidly developing midface. The literature until the present, does not agree on the presence and extent of the effects of septal surgery for final outgrowth of the nose or midface (Pirsig, 1974, 1986, Huizing, 1979, Ortiz-Monasterio and Oimedo, 1981, Stucker et aI., 1984, Healy, 1986, Jugo, 1987, Verwoerd et aI., 1989, Walker et aI., 1993, Potsic, 1997, Cotton and Myer 1999, Manning, Crysdale, Derkay, 1999).

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