Abstract

Most of the saddle deformities are due to trauma; less frequently, they may be a racial characteristic and in rare cases they follow chronic specific inflammatory diseases. The author considers the alternatives for surgical correction: 1. The small saddle requiring no graft 2. the saddle requiring little graft for which septal or aural cartilage will suffice and 3. more severe saddles requiring graft tissues taken from elsewhere. In a recent series using silastic, good results were obtained when the silastic was inserted via a mid-line vertical columella incision and not via an intra-nasal or intra-oral approach.

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