Saddle nose

{{Short description|Condition characterized by a loss of height of the nose, because of the collapse of the bridge}}

{{Infobox medical condition (new)

| name = Saddle nose

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| image = Facies of Heredosyphilis 5.jpg

| caption = Saddle nose in heredosyphilis

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| field = Plastic surgery

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Saddle nose is a condition associated with nasal trauma, congenital syphilis, relapsing polychondritis, granulomatosis with polyangiitis, cocaine abuse, and leprosy, among other conditions.{{cite journal|last1=Schreiber|first1=BE|last2=Twigg|first2=S|last3=Marais|first3=J|last4=Keat|first4=AC|title=Saddle-nose deformities in the rheumatology clinic|journal=Ear, Nose, & Throat Journal|date=April–May 2014|volume=93|issue=4–5|pages=E45-7|pmid=24817241|type=Review}} 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{{eMedicine|article|840910|Saddle Nose Rhinoplasty}} 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.{{cn|date=January 2021}}{{Cite book |url=https://www.worldcat.org/oclc/630306976 |title=Oto-Rhino-Laryngologie in Klinik und Praxis : in 3 Bänden. 2, Nase, Nasennebenhöhlen, Gesicht, Mundhöhle und Pharynx, Kopfspeicheldrüsen |date=1992 |publisher=Thieme |others=Jan Helms, Ernst Kastenbauer, Hans Heinz Naumann |isbn=3-13-676601-6 |location=Stuttgart |oclc=630306976}}

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