02020nas a2200397   4500000000100000008004100001260001600042653001500058653001000073653002100083653002500104653001400129653003100143653001100174653001100185653001200196653000900208653001600217653001500233653001700248653000900265653003100274653001600305653001300321653002000334653001300354653002200367100001300389700001200402700001600414245006500430300002700495490000600522520108000528022001401608       1996                            d  c1996 Spring10aAdolescent10aAdult10aBone Substitutes10aBone Transplantation10aCartilage10aCraniofacial Abnormalities10aFemale10aHumans10aleprosy10aMale10aMiddle Aged10aNasal Bone10aNasal Septum10aNose10aNose Deformities, Acquired10aRhinoplasty10aRotation10aSkull Fractures10aSyphilis10aTreatment Outcome1 aGraper C1 aMilne M1 aStevens M R00aThe traumatic saddle nose deformity: etiology and treatment.  a37-49; discussion 50-10 v23 a<p>The saddle nose resembles a saddle, i.e., with a concave, often flattened dorsum and an apparent cephalic rotation of the nasal tip. The concavity may be present in the osseous or cartilaginous dorsum, or both. The saddle nose deformity can be divided into congenital, postinfection, postsurgical, and traumatic types. Congenital saddle nose deformity is rare, often accompanying midfacial deficiency malformation syndromes. The advent of antimicrobial therapy has helped restrict the incidence of syphilitic or leprotic saddle nose to the nonindustrialized nations. Postsurgical saddle nose deformity occurs most often as a result of the overzealous septorhinoplasty. The most common type of saddle nose deformity may be traumatic. The authors use Kazanjian and Converse's characterization of the true saddle nose as one in which the bony and/or cartilaginous portions are depressed and the projection of the nose is generally preserved. This article describes the saddle nose deformity and its etiology and proposes a management technique with minimal complications.</p>  a1074-3219