{"title":"Effects of paediatric nasal and maxillofacial surgery on midfacial growth.","authors":"Daniel Phung, Ryan Winters","doi":"10.1097/MOO.0000000000001132","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose of review: </strong>This review explores recent evidence on the long-term effects of pediatric nasal and maxillofacial surgery on midfacial growth, emphasizing the impact of modern techniques, timing and cephalometric outcome measures.</p><p><strong>Recent findings: </strong>Systematic reviews confirm that conservative pediatric septal surgery does not seem to compromise midfacial growth when cartilage-preserving techniques are used. There is a trend towards inclusion of septoplasty at time of primary cleft lip repair rather than deferring, with improved nasal airflow and unaffected midfacial growth. Early cleft palate repair appears to be safe with respect to maxillary retrusion. Standardized cephalometric reporting remains lacking.</p><p><strong>Summary: </strong>Contemporary evidence supports the safety of growth-preserving pediatric midfacial surgery, with early intervention offering functional and neurocognitive benefit, though standardized long-term outcome data remains an area for further research.</p>","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":" ","pages":"286-289"},"PeriodicalIF":1.4000,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Opinion in Otolaryngology & Head and Neck Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/MOO.0000000000001132","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/5/4 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose of review: This review explores recent evidence on the long-term effects of pediatric nasal and maxillofacial surgery on midfacial growth, emphasizing the impact of modern techniques, timing and cephalometric outcome measures.
Recent findings: Systematic reviews confirm that conservative pediatric septal surgery does not seem to compromise midfacial growth when cartilage-preserving techniques are used. There is a trend towards inclusion of septoplasty at time of primary cleft lip repair rather than deferring, with improved nasal airflow and unaffected midfacial growth. Early cleft palate repair appears to be safe with respect to maxillary retrusion. Standardized cephalometric reporting remains lacking.
Summary: Contemporary evidence supports the safety of growth-preserving pediatric midfacial surgery, with early intervention offering functional and neurocognitive benefit, though standardized long-term outcome data remains an area for further research.
期刊介绍：
Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.
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