Saddle nose

Saddle nose
Sketch of a saddle nose deformity
Classification and external resources
ICD-10 A50.5, M95.0, Q67.4
ICD-9-CM 090.5, 754.0
DiseasesDB 11755

Saddle nose is a condition associated with nasal trauma, congenital syphilis, relapsing polychondritis, granulomatosis with polyangiitis, cocaine abuse, and leprosy, among other conditions. The most common cause is nasal trauma. It is characterized by a loss of height of the nose, because of the collapse of the bridge. The depressed nasal dorsum may involve bony, cartilaginous or both bony and cartilaginous components of the nasal dorsum.

Treatment

Lateral view of the face with a saddle nose deformity due to granulomatosis with polyangiitis using a nasal prosthesis.[1]

It can usually be corrected with augmentation rhinoplasty[2] by filling the dorsum of nose with cartilage, bone or synthetic implant. If the depression is only cartilaginous, cartilage is taken from the nasal septum or auricle and laid in single or multiple layers. If deformity involves both cartilage and bone, cancellous bone from iliac crest is the best replacement. Autografts are preferred over allografts. Saddle deformity can also be corrected by synthetic implants of teflon or silicon, but they are likely to be extruded.

See also

References

  1. ↑ Kawabata, Simone Cristina; Hotta, Patricia Tiemy Hirono; Dias, Reinaldo Brito e; Mattos, Beatriz Silva Camara (2014). "Wegener Granulomatosis: Case Report of Facial Prosthetic Rehabilitation". Journal of Medical Cases. 5 (12): 646–649. doi:10.14740/jmc2028e.
  2. ↑ Saddle Nose Rhinoplasty at eMedicine
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