{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T22:02:53Z","timestamp":1780610573489,"version":"3.54.1"},"reference-count":39,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>This comprehensive review examines the role of septoplasty in the pediatric population, emphasizing its therapeutic significance in relieving nasal obstruction and facilitating normal craniofacial growth. Despite the evident advantages of septoplasty, its application in young patients remains a subject of ongoing debate. This issue is primarily characterized by concerns regarding the still-developing immaturity of nasal cartilage, potential intraoperative and postoperative risks, and the current absence of robust data on long-term outcomes following septoplasty. Common complications such as bleeding, septal perforation, saddle nose deformity, and persistent nasal obstruction are reported in the literature; however, many studies lack long-term follow-up data on the incidence of these adverse events and revision rates, which may be higher compared to adult populations, often leading to the need for secondary surgical interventions. Strict inclusion criteria and comprehensive patient selection are paramount to maximize therapeutic success while minimizing complications. Current evidence suggests that appropriately indicated septoplasty can improve airway patency, support optimal facial development, and reduce the risk of secondary sinonasal pathology. There is a significant necessity for additional prospective, large-scale studies to establish standardized therapeutic guidelines and management strategies for this specific population, thereby ensuring effective and evidence-based pediatric otolaryngologic care.<\/jats:p>","DOI":"10.3390\/jcm14155537","type":"journal-article","created":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T10:13:51Z","timestamp":1754475231000},"page":"5537","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Pediatric Septoplasty: Benefits, Challenges, and Clinical Recommendations\u2014Comprehensive Review of Young ESPO"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1747-2250","authenticated-orcid":false,"given":"Jakub","family":"Zieli\u0144ski","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Wroclaw Medical University, 50-367 Wroclaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0708-5846","authenticated-orcid":false,"given":"Sara","family":"Costa","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Unidade Local de Sa\u00fade de Santo Ant\u00f3nio, 4050-342 Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6553-974X","authenticated-orcid":false,"given":"Maryana","family":"Cherkes","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology & Head and Neck Surgery, Medical University of Graz, Auenbruggerplatz 26, 8036 Graz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1050-5208","authenticated-orcid":false,"given":"Natalia","family":"Glibbery","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, West Suffolk Hospital, Bury St Edmunds IP33 2QZ, Suffolk, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-3178-7318","authenticated-orcid":false,"given":"Petra","family":"Kov\u00e1cs","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Heim P\u00e1l National Pediatric Institute, 1089 Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6589-6995","authenticated-orcid":false,"given":"Luiza","family":"Mitrea-Sire\u021beanu","sequence":"additional","affiliation":[{"name":"Saint Mary Plaza Clinic, Bulevardul Timisoara, Nr. 26 Z, Sector 6, 061331 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5639-040X","authenticated-orcid":false,"given":"Marek","family":"Ciller","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Second Faculty of Medicine, University Hospital Motol, V \u00davalu 84, 150 06 Prague, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7784-7822","authenticated-orcid":false,"given":"Miray-Su","family":"Y\u0131lmaz Top\u00e7uo\u011flu","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,8,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.fsc.2016.12.002","article-title":"Septoplasty: Basic and advanced techniques","volume":"25","author":"Most","year":"2017","journal-title":"Facial Plast. 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