Correction of saddle and short noses

Area of Science:

• Plastic Surgery
• Rhinology
• Facial Reconstruction

Background:

• Saddle and short noses present complex reconstructive challenges.
• Effective management requires meticulous attention to structural support and aesthetic form.

Purpose of the Study:

• To review fundamental concepts and recent advancements in managing saddle and short noses.
• To focus on optimal septal reconstruction techniques and dorsal augmentation materials.

Main Methods:

• Review of current literature on nasal reconstruction techniques.
• Analysis of graft materials and surgical strategies for saddle and short nose deformities.

Main Results:

• Various septal reconstruction techniques include spreader grafts, caudal septal extension grafts, and L-strut grafts.
• Dorsal augmentation options to prevent warping include diced costal cartilage (with/without fascia), oblique-cut costal cartilage, diced conchal cartilage, and lipofilling.

Conclusions:

• Successful saddle and short nose reconstruction hinges on rebuilding septal cartilage support with appropriate techniques and materials.
• Careful selection of dorsal augmentation materials and adjunctive maneuvers are crucial for favorable results.