| Saddle nose | |
|---|---|
 | |
| Saddle nose inheredosyphilis | |
| Specialty | Plastic surgery |
Saddle nose is a condition associated with nasal trauma,congenital syphilis, relapsingpolychondritis,granulomatosis with polyangiitis,cocaine abuse, andleprosy, 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 thenasal 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 augmentationrhinoplasty[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 fromiliac crest is the best replacement.Autografts are preferred overallografts. Saddle deformity can also be corrected by synthetic implants ofteflon or silicon, but they are likely to be extruded.[citation needed][3]
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