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Reconstruction of Saddle Nose Deformity

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All Around the Nose

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Abstract

Saddle nose deformity results from many different etiological factors. Trauma and previous surgeries are the most common reasons, whereas the intranasal foreign body, infections of the septum, and cocaine abuse should also be kept in mind. Different types of etiologies are related to various types of deformities. The term “saddle nose” is attributed to this clinical outcome as it looks like a saddle from the lateral view. It may concern both the functional and cosmetic aspects of the nose. Various subtypes of the deformity lead to different treatment modalities. Various types of grafts are frequently used in nasal reconstruction surgery. In time, materials used for grafting changed as required. Availability, durability, sufficiency, formability, low donor site morbidity, and low extrusion risk are characteristics of the ideal graft material. Grafts should not cause any immune or inflammatory reaction. Synthetic grafts and homografts have been used over time; but shifting, extrusion, and infection risks have limited their use. There are different donor site options for autografts, including iliac crest and calvarial bone. Many autologous and synthetic materials are used for augmentation rhinoplasty. Cultured autologous human auricular chondrocytes were used for grafting. Alloderm, Gore-Tex®, silicone, Medpor®, etc. are some options of alloplasts. In nearly all saddle nose cases, open approach is also preferred for a better exposition and easily detection and reconstruction of deformity.

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Author information

Authors and Affiliations

  1. Department of Otolaryngology, Istanbul Training and Research Hospital, University of Health Sciences, Istanbul, Turkey

    Tolga Kırgezen & Ozgur Yigit

  2. Maxillo Facial Surgery Department, University of Verona, Verona, Italy

    Dario Bertossi

Authors
  1. Tolga Kırgezen
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  2. Ozgur Yigit
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  3. Dario Bertossi
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Editor information

Editors and Affiliations

  1. Eskişehir Osmangazi University, Medical Faculty, Department of Otorhinolaryngology, Eskisehir, Turkey

    Cemal Cingi

  2. Department of Otorhinolaryngology, Medical Faculty, Kirikkale University, Kirikkale, Turkey

    Nuray Bayar Muluk

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Kırgezen, T., Yigit, O., Bertossi, D. (2020). Reconstruction of Saddle Nose Deformity. In: Cingi, C., Bayar Muluk, N. (eds) All Around the Nose. Springer, Cham. https://doi.org/10.1007/978-3-030-21217-9_99

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  • DOI: https://doi.org/10.1007/978-3-030-21217-9_99

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-030-21217-9

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