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Related Experiment Videos

Saddle nose: our approach to the problem.

M Andrade1, V S Fernandes, J P Boléo-Tomé

  • 1Unit of Plastic and Maxillo-Facial Surgery, Hospital Egas Moniz, Lisbon, Portugal.

Aesthetic Plastic Surgery
|January 12, 2000
PubMed
Summary

Saddle nose deformities can be effectively treated using cartilage grafts and nasal reshaping techniques. This study highlights satisfactory outcomes with human costal cartilage homografts in open rhinoplasty.

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Regenerative Medicine

Background:

  • Saddle nose, characterized by nasal bridge depression, often results from trauma or septal cartilage over-resection.
  • Less common causes include congenital conditions, syphilis, leishmaniosis, and leprosy.
  • This deformity typically presents with a widened bony bridge and a dropped nasal tip.

Purpose of the Study:

  • To evaluate the efficacy of a specific surgical approach for correcting saddle nose deformities.
  • To assess the use of cartilage grafts and nasal reshaping in treating saddle nose.

Main Methods:

  • A series of patients with saddle nose underwent open rhinoplasty.
  • Dorsum cartilage grafts, primarily rehydrated human costal cartilage (homografts), were utilized.
  • Surgical techniques included nasal bridge narrowing and nose shortening.

Main Results:

  • The applied therapy, involving dorsum cartilage grafts and nasal reshaping, yielded extremely satisfactory clinical results.
  • Human costal cartilage homografts proved to be a suitable material for reconstruction.

Conclusions:

  • The described surgical technique using cartilage homografts is a highly effective treatment for saddle nose.
  • Open rhinoplasty with cartilage grafting offers a satisfactory solution for nasal deformities.

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