Surgical considerations for pediatric nasal septal deviation: A review of current concepts and timing of intervention

Data accumulation suggests pediatric septal surgery is increasingly safe when performed with conservative technique. Surgical indication should be considered in children aged ≥6 who present with septal deviation resistant to medical therapy and who suffer complications such as snoring, OSA, recurrent sinusitis, or severely impaired quality of life. Meticulous operative planning with maximal structural preservation is paramount to optimize outcomes and minimize growth disruption.