Posttraumatic Nasal Deformities: Correcting the Crooked and Saddle Nose

Abstract

The nose is frequently traumatized in facial injuries and this often results from motor vehicle accidents, sports-related injuries, and altercations. Subsequently, posttraumatic nasal deformity is one of the most common reasons that patients seek consultation in the doctor's office. Depending on the type of nasal deformities, this can result in functional impairment and aesthetic problems. Two challenging problems to be addressed in the posttraumatic nose include the crooked nose deformity and the saddle nose deformity. The numerous publications on these two topics attest to the exacting surgical expertise required in its treatment. The key features in management of these conditions are discussed further.

Keywords

saddle nose - crooked nose - nasal deformity - nasal trauma

• References

• 1 Larrabee Jr WF, Murakami C. Osteotomy techniques to correct posttraumatic deviation of the nasal pyramid: a technical note. J Craniomaxillofac Trauma 2000; 6 (1) 43-47
• 2 Porter JP, Toriumi DM. Surgical techniques for management of the crooked nose. Aesthetic Plast Surg 2002; 26 (Suppl. 01) S18
• 3 Foda HM. The role of septal surgery in management of the deviated nose. Plast Reconstr Surg 2005; 115 (2) 406-415
• 4 Roofe SB, Murakami CS. Treatment of the posttraumatic and postrhinoplasty crooked nose. Facial Plast Surg Clin North Am 2006; 14 (4) 279-289 , v
• 5 Kim DW, Toriumi DM. Management of posttraumatic nasal deformities: the crooked nose and the saddle nose. Facial Plast Surg Clin North Am 2004; 12 (1) 111-132
• 6 Frodel JL. Primary and secondary nasal bone grafting after major facial trauma. Facial Plast Surg 1992; 8 (4) 194-205
• 7 Frodel Jr JL. Management of the nasal dorsum in central facial injuries. Indications for calvarial bone grafting. Arch Otolaryngol Head Neck Surg 1995; 121 (3) 307-312
• 8 Daniel RK, Brenner KA. Saddle nose deformity: a new classification and treatment. Facial Plast Surg Clin North Am 2006; 14 (4) 301-312 , vi
• 9 Christophel JJ, Hilger PA. Osseocartilaginous rib graft rhinoplasty: a stable, predictable technique for major dorsal reconstruction. Arch Facial Plast Surg 2011; 13 (2) 78-83
• 10 Higuera S, Lee EI, Cole P, Hollier Jr LH, Stal S. Nasal trauma and the deviated nose. Plast Reconstr Surg 2007; 120 (7) (Suppl. 02) 64S-75S
• 11 Webster RC, Davidson TM, Smith RC. Curved lateral osteotomy for airway protection in rhinoplasty. Arch Otolaryngol 1977; 103 (8) 454-458
• 12 Larrabee Jr WF. Open rhinoplasty and the upper third of the nose. Facial Plast Surg Clin North Am 1993; 1: 23-38
• 13 Goode RL, Spooner TR. Management of nasal fractures in children. A review of current practices. Clin Pediatr (Phila) 1972; 11 (9) 526-529
• 14 Kaban LB, Troulis MJ , Eds. Pediatric Oral and Maxillofacial Surgery. 2nd ed. Philadelphia, PA: Saunders; 2004
• 15 Verwoerd CDA, Verwoerd-Verhoef HL. Rhinosurgery in children: basic concepts. Facial Plast Surg 2007; 23 (4) 219-230
• 16 Dyer II WK, Beaty MM, Prabhat A. Architectural deficiencies of the nose: treatment of the saddle nose and short nose deformities. Otolaryngol Clin North Am 1999; 32 (1) 89-112
• 17 Tardy Jr ME, Schwartz M, Parras G. Saddle nose deformity: autogenous graft repair. Facial Plast Surg 1989; 6 (2) 121-134
• 18 Alsarraf R, Murakami CS. The saddle nose deformity. Facial Plast Surg Clin North Am 1999; 7: 303-310
• 19 Erol OO. The Turkish delight: a pliable graft for rhinoplasty. Plast Reconstr Surg 2000; 105 (6) 2229-2241 , discussion 2242–2243
• 20 Tham C, Lai YL, Weng CJ, Chen YR. Silicone augmentation rhinoplasty in an Oriental population. Ann Plast Surg 2005; 54 (1) 1-5 , discussion 6–7
• 21 Daniel RK, Calvert JW. Diced cartilage grafts in rhinoplasty surgery. Plast Reconstr Surg 2004; 113 (7) 2156-2171
• 22 Calvert JW, Brenner K, DaCosta-Iyer M, Evans GR, Daniel RK. Histological analysis of human diced cartilage grafts. Plast Reconstr Surg 2006; 118 (1) 230-236
• 23 Sajjadian A, Rubinstein R, Naghshineh N. Current status of grafts and implants in rhinoplasty: part I. Autologous grafts. Plast Reconstr Surg 2010; 125 (2) 40e-49e