Saddle nose

Condition characterized by a loss of height of the nose, because of the collapse of the bridge
Medical condition
Saddle nose
Saddle nose in heredosyphilis
SpecialtyPlastic surgery

Saddle nose is a condition associated with nasal trauma, congenital syphilis, relapsing polychondritis, granulomatosis with polyangiitis, cocaine abuse, and leprosy, among other conditions.[1] The most common cause is nasal trauma. It is characterized by a loss of height of the nose, because of the collapse of the nasal bridge. The depressed nasal dorsum may involve bony, cartilaginous, or both bony and cartilaginous components of the nasal dorsum.

It can usually be corrected with augmentation rhinoplasty[2] by filling the dorsum of the 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.[citation needed][3]

Lateral view of the face with a saddle nose deformity far up on the bridge due to granulomatosis with polyangiitis from using a nasal prosthesis

See also

References

  1. ^ Schreiber, BE; Twigg, S; Marais, J; Keat, AC (April–May 2014). "Saddle-nose deformities in the rheumatology clinic". Ear, Nose, & Throat Journal (Review). 93 (4–5): E45-7. PMID 24817241.
  2. ^ Saddle Nose Rhinoplasty at eMedicine
  3. ^ Oto-Rhino-Laryngologie in Klinik und Praxis : in 3 Bänden. 2, Nase, Nasennebenhöhlen, Gesicht, Mundhöhle und Pharynx, Kopfspeicheldrüsen. Jan Helms, Ernst Kastenbauer, Hans Heinz Naumann. Stuttgart: Thieme. 1992. ISBN 3-13-676601-6. OCLC 630306976.{{cite book}}: CS1 maint: others (link)

External links

Classification
D
  • v
  • t
  • e
α
Rickettsiales
Rickettsiaceae/
(Rickettsioses)
Typhus
Spotted
fever
Tick-borne
Mite-borne
Flea-borne
Anaplasmataceae
Hyphomicrobiales
Brucellaceae
Bartonellaceae
β
Neisseriales
M+
M−
ungrouped:
Burkholderiales
γ
Enterobacteriales
(OX−)
Lac+
Slow/weak
Lac−
H2S+
H2S−
Pasteurellales
Haemophilus:
Pasteurella multocida
Aggregatibacter actinomycetemcomitans
Legionellales
Thiotrichales
Vibrionaceae
Pseudomonadales
Xanthomonadaceae
Cardiobacteriaceae
Aeromonadales
ε
Campylobacterales
  • v
  • t
  • e
Appendicular
limb / dysmelia
Arms
clavicle / shoulder
hand deformity
Leg
hip
knee
foot deformity
Either / both
fingers and toes
reduction deficits / limb
multiple joints
Axial
Skull and face
Craniosynostosis
Craniofacial dysostosis
other
Vertebral column
Thoracic skeleton
ribs:
sternum:
other: