Moderate and Major Saddle Nose; the Causes and Correction

Abstract

Back ground: Saddle nose deformity is of different types and classifications, and there are several surgical approaches and grafting materials selected by the surgeons for the correction. Objective: Study the causes, surgical steps, and outcomes of correction of moderate and major saddle nose by the author using autologous iliac crest bone graft. Patients and method: A retrospective case study of 34 patients, with saddle nose, corrected by dorsal onlay graft and columella strut harvested from autologous iliac crest bone via endo-nasal approach rhinoplasty, at Salah-Elden governorate during period from Jan. 2008- Dec. 2015. Results: The common cause of saddle nose was septal abscess 16 patients (47%), nasal trauma 7 patients (20.6%), then congenital and iatrogenic causes. The cosmetic results all 34 patients (100%) get good results and satisfied for the patient‟s and the surgeon, with follow-up surgeon satisfaction were in 32 patients (94%). Functional improvement was (94.7%). Conclusions: 1.Autologous iliac crest bone graft is good graft material for augmentation of saddle nose deformity. 2. Optimum cosmetic outcomes achieved by doing osteotomies and in fracture of nasal bones, tip plasty, and alar base resection.3. The procedure used for graft taken from iliac crest bone is relatively safe with low complications.