| Abstract: | Statistics are provided on the prevalence, age-related aspects and results of conventional treatment of nasal septum fractures (NSF) in 15% of children treated in hospitals. An original approach to surgical treatment of NSF is proposed. It consists in open endonasal reposition of the osteochondrous base of the nasal septum with removal of small fragments, sparing resection of the quadrangular cartilage along the fracture line with perforation of the cartilage for reliable fixation by targeted formation of the scars. Possibility of one-stage correction of NSF and nasal bones fractures, advantages of the method are outlined. The novel surgical treatment was tried in eleven 9-14-year old patients with NSF. Long-term cosmetic and functional treatment results (follow-up for 12-18 months) are positive, postoperative complications were absent. |
