Introdução: Nasal septal deformity is one of the most important causes of respiratory obstruction in children, responsible for chronic rhinosinusitis, otitis media, feeding difficulties and complications in mouth breathers. Surgical correction should be performed early in life, when indicated. A series of 80 patients aged between 4 and 14 years, on whom Septoplasty, rhinoseptoplasty, rhinoplasty ... [Show full abstract] associated with others surgical procedures, such as adenoidectomy, adenotonsillectomy and turbinectomy, is presented. Recurrence of septal deviation occurred in 4 cases, pyramid deviation in 4, synechiae in 3, septal perforation in 1 and infection in 1. Rhinoseptoplasty can be safely performed early in life when indicated and it can be combined with surgical procedures at the same surgical time.