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Saddle Nose Deformity
A saddle nose deformity, also known as a nasal collapse or boxcar nose, is characterised by a depression or concavity along the bridge of the nose. This condition can lead to both aesthetic concerns and functional issues related to breathing.
The most common cause of saddle nose deformity is trauma to the nose, such as a nasal fracture or injury that damages the nasal septum or nasal bones. Over-aggressive or improperly performed rhinoplasty or septoplasty procedures can occasionally result in saddle nose deformity if too much cartilage or bone is removed, compromising nasal support.
Rarely, saddle nose deformity can also occur due to congenital conditions affecting nasal cartilage development or bone structure. In some cases, autoimmune diseases such as granulomatosis with polyangiitis can cause inflammation and destruction of nasal cartilage, leading to saddle nose deformity.
Fix-It
Septal Reconstruction
One of the primary treatments for saddle nose deformity involves reconstructing the nasal septum to restore its support and structure. This may include using cartilage grafts from the nasal septum, ear, or rib to rebuild and support the nasal bridge.
Dorsal Augmentation
In cases where there is significant nasal bridge collapse, dorsal augmentation using cartilage grafts or synthetic implants can be performed to restore height and contour to the nasal dorsum.
Functional Rhinoplasty
Addressing both the aesthetic and functional aspects of saddle nose deformity often requires a comprehensive functional rhinoplasty procedure. This may involve techniques to improve nasal airflow and support while correcting the aesthetic appearance of the nose.
Autologous Tissue Grafts
Dr Naveed Basheeth is one of the very few rhinoplasty surgeons in NZ who employs tissue grafting techniques using diced cartilage, autologous fascia/synthetic fascia and shield graft. We also use laboratory-treated cadaveric rib graft with fascia or synthetic implants to achieve optimum results.
Revision Surgery
In cases of previous unsuccessful nasal surgeries or inadequate correction, revision rhinoplasty may be necessary to further refine and optimise the results of septal reconstruction or dorsal augmentation.
