The traumatic saddle nose deformity: Etiology and treatment

C. Graper, M. Milne, M. R. Stevens, R. J. Rohrich

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

The saddle nose resembles a saddle, i.e., with a concave, often flattened dorsum and an apparent cephalic rotation of the nasal tip. The concavity may be present in the osseous or cartilaginous dorsum, or both. The saddle nose deformity can be divided into congenital, postinfection, postsurgical, and traumatic types. Congenital saddle nose deformity is rare, often accompanying midfacial deficiency malformation syndromes. The advent of antimicrobial therapy has helped restrict the incidence of syphilitic or leprotic saddle nose to the nonindustrialized nations. Postsurgical saddle nose deformity occurs most often as a result of the overzealous septorhinoplasty. The most common type of saddle nose deformity may be traumatic. The authors use Kazanjian and Converse's characterization of the true saddle nose as one in which the bony and/or cartilaginous portions are depressed and the projection of the nose is generally preserved. This article describes the saddle nose deformity and its etiology and proposes a management technique with minimal complications.

Original languageEnglish (US)
Pages (from-to)37-51
Number of pages15
JournalJournal of Cranio-Maxillofacial Trauma
Volume2
Issue number1
StatePublished - 1996
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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