{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T01:42:13Z","timestamp":1783647733126,"version":"3.55.0"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,10,16]],"date-time":"2018-10-16T00:00:00Z","timestamp":1539648000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["K08 HS22932\u201001"],"award-info":[{"award-number":["K08 HS22932\u201001"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Rhinoplasty is commonly performed in children with congenital anomalies and resultant nasal deformity causing airway obstruction. Little is known regarding patient factors or perioperative sequelae. We define demographic characteristics and perioperative complications for children undergoing rhinoplasty within a large national cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective cohort study of children aged\u2009\u2264\u200918 years undergoing rhinoplasty utilizing data from the 2012 to 2015 American College of Surgeons National Surgery Quality Improvement Program\u2010Pediatric public use file.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All children who underwent rhinoplasty were identified. Postoperative complications were defined as 30\u2010day postoperative infection, unplanned readmission and reoperation, and death. Multivariate logistic regression was used to identify predictors of complications. Subgroup analysis was performed based on child age (age\u2009&lt;\u20095 years vs. 5\u201313 years vs.\u2009\u2265\u200914 years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 1,378 children undergoing rhinoplasty, 21(1.52%) children experienced complications, with the most common being unplanned readmission. Younger children were more likely to experience complications (3.79% aged\u2009&lt;\u20095 years vs. 0.66% aged\u2009\u2265\u200914 years; <jats:italic>P<\/jats:italic>\u2009=\u20090.001). Using multivariate logistic regression analysis, we observed a 61% decreased odds of complication with each age group (odds ratio 0.39, 95% confidence interval 0.19, 0.77; <jats:italic>P<\/jats:italic>\u2009=\u20090.007). Younger children were more likely to be male (56.2% male aged\u2009&lt;\u20095 years vs. 46.6% male aged\u2009\u2265\u200914 years; <jats:italic>P<\/jats:italic>\u2009=\u20090.011), have developmental delay (11.7% aged\u2009&lt;\u20095 years vs. 3.65% aged\u2009\u2265\u200914 years; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), and have craniofacial abnormalities (73.2% aged\u2009&lt;\u20095 years vs. 42.1% aged\u2009\u2265\u200914 years; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Children undergoing rhinoplasty experience few major complications, with the most common being unplanned readmission. Younger children are at greater risk and are more likely to be male with craniofacial abnormalities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 129:494\u2013499, 2019<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27304","type":"journal-article","created":{"date-parts":[[2018,10,16]],"date-time":"2018-10-16T12:50:38Z","timestamp":1539694238000},"page":"494-499","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Pediatric Rhinoplasty: A national surgical quality improvement program analysis"],"prefix":"10.1002","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5534-3922","authenticated-orcid":false,"given":"Rebecca J.","family":"Kamil","sequence":"first","affiliation":[{"name":"Johns Hopkins Department of Otolaryngology\u2013Head and Neck Surgery  Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Roxbury","sequence":"additional","affiliation":[{"name":"Head and Neck Institute Cleveland Clinic Foundation  Cleveland Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Boss","sequence":"additional","affiliation":[{"name":"Johns Hopkins Department of Otolaryngology\u2013Head and Neck Surgery  Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2016.30.4289"},{"key":"e_1_2_6_3_1","first-page":"Doc05","article-title":"Rhinosurgery in children: developmental and surgical aspects of the growing nose","volume":"9","author":"Verwoerd CD","year":"2010","journal-title":"GMS Curr Top Otorhinolaryngol Head Neck Surg"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000378"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2016.10.027"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-995818"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.3889\/oamjms.2016.080"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2008.501"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2013.2302"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2014.07.004"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2013.07.030"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2008.02.009"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2010.09.073"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815575711"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26165"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.3171\/2016.10.PEDS16414"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2015.3302"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21954"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.2067"},{"key":"e_1_2_6_20_1","unstructured":"American College Surgeons National Surgical Quality Improvement Program\u2014Pediatric Overview. 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