I was invited for a guest lecture at the 42nd Delhi state ENT conference at the Lady Harding Medical College, New Delhi. The conference was attended by senior ENT surgeons and resident doctors from Delhi and neighbouring states
I was talking about Rhinoplasty in Children. This is a topic that has been debated a lot, while some people feel that operation on a young growing child nose should be deferred till age of 16, I discussed the modern thinking around the subject and posited that by not operating on a child he/she may suffer.
I presented my argument that by not undergoing a rhinoplasty operation children may suffer from obstructive sleep apnea, chronic oxygen deficiency and ear infections. There are tangential effects as well - dental protrusions and in fact the growth of the face of child who mouth breaths can be affected if not treated. The issue of mental health of young children with severe nose deformities including self image and ridicule from peers was also discussed.
Thinking amongst the Rhinoplasty faculty is now changing and the current view is to operate early if there are functional problems. However parents need to be informed about a possible 2nd operation that may be required after the age of 18 years.
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