2017 Sec 1 Green Book

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related

to

this

type of procedure nor did

they use AP cephalometry

on

one

side

of

the

face,

and

this

side was

compared

to

indication

one

other

study was

found

using

other

non-operable cephalometry.

side, with measurements

using

anterior-

transverse measurements. Only

the

tomography with

the

aim of

comparing

facial

growth between

CT

posterior

children

who

had

unilateral

surgical

treatment

including

the

8

approach,

ESS

and

the

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for

orbital

external

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19

adults with

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functional statistically significant differences between different age groups [15] . However, AP cephalometry was not performed and all patients have had bilateral surgery. In our study, only minimal changes in facial volume measure- ments were found, confirming the clinical impression that ESS in the pediatric population is safe. Our study design has contributed substantially to our conclu- sion in several ways. First of all, only one side was operated upon, saving the other side to serve as a control group in the same patient. Second, all patients had comparable significant endoscopic surgery in which the ethmoid cells and the lamina papyracea were resected extensively. Needless to say, such an extensive uniform procedure is not common in the pediatric population. Third, all procedures were performed by the same surgeon, and last of all, the cephalometric imaging provides the major advantage of better enabling evaluation of facial measurements. The study had limitations, and the results should be interpreted with caution. The sample size was small, cephalometric measure- ments are prone to errors (due to the technique and measurement process), and lastly, the children were of different ages at surgery, and as a consequence different ages at the time of cephalometry and evaluation of measurements. endoscopic sinus surgery, reporting no

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