Objective: To describe the outcomes of pediatric septoplasty.
Methods: A literature review was conducted using studies retrieved from PubMed, Google Scholar, the electronic library of Hanoi Medical University, and medical journals published between 2010 and 2026 regarding the outcomes, surgical techniques, and craniofacial effects of pediatric septoplasty.
Results: Eight studies involving 518 pediatric patients undergoing septoplasty were included, with surgical ages ranging from 4 to 18 years. The main indication for surgery was severe nasal obstruction caused by septal deviation; other indications included post-traumatic septal deformity, prolonged mouth breathing, and impaired craniofacial development. Most studies reported significant improvement in nasal obstruction symptoms, quality of life, facial growth, and malocclusion in children with prolonged mouth breathing. Postoperative complications were generally low, including epistaxis (0-12%), synechiae (0-48%), residual or recurrent deviation (0-35%), infection (0-24%), septal perforation (0-2%), septal hematoma/abscess (< 1%), and revision surgery (0-10%).
Conclusion: Pediatric septoplasty is relatively safe and effective in improving nasal breathing and quality of life when appropriately indicated.