الفهرس 
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Abstract
The nose is by far the most important aesthetic complex of the
face. Neither appearance nor function is expendable, and both should be
considered together when nasal surgery is planned (Numanoglu,
l996).The fear of destroying an anticipated growth center has, with time,
induced the postponement of nasal septal operations until adulthood.
Underdevelopment of the nose and middle face is otherwise believed to
be the long term result (Freng and Haye, 1985).
However review of the literature reveals that many of the authors
nowadays consider that the taboo on this sort of surgery would seem to
have passed (Triglia, et al; 1990).
There are two approaches for septorhinoplasty, the endonasal
approach which allows precise and limited excision of the deviated
cartilage <Jnd portions of the m<Jxiii<Jry crest and vomer <JS appropri<Jte
<1m! hence it is usually used in cases of septal deviations that is posterior
to the <Jnterior n<Jsal spine, deviations of the n<Jsal septum anterior to the
line Ji·om the anterior nasal spine to tl1e anterior aspects of the nasal
bones require the external <1pproach to permit mobiliz<Jtion and complete
excision of the quadrilateral cartilage (Vuyke &Kalter, 1992).
Septorhinoplasty in children presents <1 challenge in our speci<Jlty
for three reasons:
First, the unfortunate consequences of nasal obstruction are well
known visa-vis the inferior airways, aural pathology, the morphology of
the nose, and nasal growth. This means early surgical intervention
especially since, as a rule, septal deviation worsens with growth
(Crysclale and Tatham, 1985).