Abstract

Autologous bone graft is one of the management solutions for saddle nose deformity. This helps from both functional and esthetic perspective. Several features of autologous graft specify the best material used to repair bony and cartilaginous nasal defects. This article describes a case of a female who presented with saddle nose deformity after incidental insertion of a button battery in her nostril during childhood which was followed by depressed nasal dorsum. It was managed with good outcomes by augmentation rhinoplasty using an iliac crest bone graft.

Highlights

  • Rhinoplasty is a procedure for the reconstruction of the anatomical features of the nose into a more satisfying shape which depends directly on the surgeon's ability to achieve a high-quality modification [1]

  • Management of saddle nose deformity must be based on recognition of the pathological factors and classification of each case into curable pathology treated with septum straightening, absent nasal septum which required reconstruction, or as a result of the low dorsum with intact septum that treated with dorsal grafts [7]

  • A variety of grafting materials have been used for reconstruction -- autogenous bone graft and cartilage graft and manipulated alloplastic materials such as nonporous and porous [4]

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Summary

Introduction

Rhinoplasty is a procedure for the reconstruction of the anatomical features of the nose into a more satisfying shape which depends directly on the surgeon's ability to achieve a high-quality modification [1]. Iliac crest bone graft provides a very effective benefit in case of serious saddle nose deformity [6]. We report a case of a 20-year-old female medically free who presented with the complaints of depression in her nose since childhood (Figure 1). She gave a history of incidental insertion of a button battery in her nostril at age five which was followed by depressed nasal dorsum. How to cite this article Alshehri W M, Aldosari A, Alherz A H, et al (August 12, 2020) Augmentation Rhinoplasty Using Iliac Crest Graft in Saddle Nose Deformity.

Discussion
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Hahn S
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