Response to the letter to the editor regarding "does septoplasty improve the quality of life in children?"
Küçük Resim Yok
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Dear Sir, We would like to thank Mr. D’Ascanio for his interest in our study entitled “Does septoplasty improve the quality of life in children?” and we appreciate his valuable comments. In response; absolute and relative indications have been described for performing septoplasty in children [1]. Absolute indications include septal hematoma, septal abscess, severe deformity secondary to acute nasal fracture, cleft lip nose and dermoid cyst. Nasal obstruction is one of the more common indications although it is thought as a relative indication. Derkay [2] reported that septoplasty should be considered in cases with an obvious nasal septal deformity causing severe impairment of daytime and nighttime breathing. We think that, there is a misunderstanding about our indications for performing septoplasty. We absolutely make decision for operation especially in cases with a history of obstructive sleep apnea syndrome and nasal obstruction during sleep. But this does not mean that we perform septoplasty only in these cases. We also perform surgery in cases with severe nasal septal deviation causing mouth breathing such as total obstruction in one nasal cavity. Therefore, we did not report polysomnography as a criteria in the “materials and methods”. The severity of septal deviation was determined by physical examination. No specific parameter is used for this determination in our clinic. As the author stated, the growth of septal cartilage ends at 5–6 years of age, while the vomer and perpendicular lamina grow until adolescence [3]. Therefore, when performing septoplasty in children, cartilaginous septum can be resected conservatively, but the bony part of the septum should not be removed. We agreed with the author. Hence, we performed the excision minimally in our cases.
Açıklama
Anahtar Kelimeler
Kaynak
International Journal of Pediatric Otorhinolaryngology
WoS Q Değeri
Scopus Q Değeri
Q2
Cilt
78
Sayı
12
Künye
Yılmaz, M.S., Güven, M., Akidil, Ö., Kayabaşoğlu, G., Demir, D. ve Mermer, H. (2014). Response to the letter to the editor regarding "does septoplasty improve the quality of life in children?". International Journal of Pediatric Otorhinolaryngology, Elsevier. 78(12), s. 2335.
