Facial plast Surg 2007; 23(4): 259-266
DOI: 10.1055/s-2007-995818
© Thieme Medical Publishers

Open Rhinoplasty in Children

Simon C.R Dennis1 , Cindy den Herder2 , Munish Shandilya3 , Gilbert J. Nolst Trenité2
  • 1Department of ENT Surgery, Portsmouth Hospitals NHS Trust, Queen Alexandra, Portsmouth, U.K.
  • 2Department of Otorhinolaryngology & Facial Plastic Surgery, Academic Medical Center of the University of Amsterdam, The Netherlands
  • 3Department of Otolaryngology, Head Neck & Reconstructive Surgery, Waterford Regional Hospital, Southeastern Health Board, Waterford, Republic of Ireland
Further Information

Publication History

Publication Date:
18 December 2007 (online)


Septorhinoplasty in children carries the risk of growth disturbance of the nose and premaxilla. The open or external approach has the advantage that the cartilaginous nasal skeleton remains intact. This open approach enables the surgeon to excise dermoid cysts and to realign lower lateral cartilages (unilateral cleft) without disturbing the integrity of the cartilaginous skeleton. In our experience, absolute indications for open rhinoplasty in children include dermoid cyst, cleft lip nose, and septal abscess. Relative indications include septal deviations causing severe nasal airway obstruction and or progressive distortion of the nose. In this article, we discuss the indications, advantages, disadvantages, and operative technique of open rhinoplasty in children. Our indications for open rhinoplasty in children and some selected cases are illustrated.