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There is debate regarding whether septoplasty in youngsters will have a negative impact on nasal and facial growth. Current research has demonstrated that in carefully chosen young patients, septoplasty can be safely performed without impairing nasofacial development. The goal of this article is to determine how paediatric septoplasty affects nasal and facial growth while also reviewing the clinical indications and supporting data on when to schedule surgery based on the most recent research. Using the terms paediatric, childhood, septoplasty, nasal septum, indications, nasal growth, and face growth, a structured review of the PubMed, Ovid Medline, and Cochrane Collaboration databases (Cochrane Central Registry of Controlled Trials, Cochrane Database of Systemic Reviews) was conducted. Another similar study came to the conclusion that most aspects of nasal function are unaffected by external septoplasty. Conclusions: There is proof that paediatric septoplasty can be done almost entirely without having an impact on the development of the nose and face. However, postponing or refusing to have a septoplasty when it is necessary may negatively impact nasal and facial growth, compounding negative outcomes in terms of deformity and asymmetry. Despite the fact that the majority support having septal surgery when a patient is 6 years old or older, further clinical trials are needed to gather greater support for correcting septal abnormalities in infants and young children. a function for septoplasty is thus supported by ached controls. [ABSTRACT FROM AUTHOR]