INTRODUCTION: Deviation of the nasal septum in childhood may alter the physiology of breathing early on and force children to breathe through their mouths, with consequent changes in craniofacial growth and intellectual development. Therefore, septoplasty should be performed as early as possible to avoid these consequences. MATERIAL AND METHODS: Forty children below the age of 12 years were clinically followed up for different durations after septoplasty, up to a maximum of 7 years. The research protocol was approved by the ethics committee (Protocol number 10331912.0.0000.0058). RESULTS: Septoplasty was performed on 40 children, of which 39 (97.5%) also underwent cauterization of the inferior turbinates and other associated procedures; 20 (50%), adeno-tonsillectomy; and 17 (42.5%), adenoidectomy. Conclusion Deviation of the nasal septum should be corrected early to allow harmonious growth of the face and normal overall development of children and avoid nasal deformity.