Saddle nose: Classification and therapeutic management

Durbec, M.; Disant, F.

doi:10.1016/j.anorl.2013.01.006

Cited by 36 publications

(23 citation statements)

References 6 publications

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“…10 Prospective analysis with photo documentation will allow for both a more qualitative assessment of these deformities and a more accurate representation of when these occur. Analysis of other factors such as case duration and the design of the nasoseptal flap may help identify the risk factors for postoperative deformities.…”

Section: Discussionmentioning

confidence: 99%

Nasal Deformities following Nasoseptal Flap Reconstruction of Skull Base Defects

2015

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Section: Discussionmentioning

confidence: 99%

Nasal Deformities following Nasoseptal Flap Reconstruction of Skull Base Defects

2015

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“…The revision rate for GPA patients undergoing external nasal reconstruction appears to be higher than in the typical septorhinoplasty population, where the published success rate is approximately 95%‐100% for the primary surgery . The success rates in the analysed studies varied between 77% and 100% for the primary reconstruction.…”

Section: Discussionmentioning

confidence: 88%

Saddle nose deformity and septal perforation in granulomatosis with polyangiitis

Coordes

Loose

Hofmann

et al. 2017

Clinical Otolaryngology

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Background Patients who have granulomatosis with polyangiitis (GPA, syn. M. Wegener) often develop an external nose deformity which may have devastating psychological effects. Therefore, reconstruction of nasal deformities by rhinoplasty may become necessary to achieve a normal appearance. Objective of review The aim of this systematic review was to investigate the efficacy and safety of surgical reconstruction in external nasal deformities and septal perforation in GPA patients. Search strategy A systematic literature search with defined search terms was performed for scientific articles archived in the MEDLINE‐Database up to 10 June 2016 (PubMed Advanced MEDLINE Search), describing management of cases or case series in GPA patients with saddle nose deformity and/or septal perforation. Results Eleven of 614 publications met the criteria for this analysis including 41 GPA patients undergoing external nasal reconstruction and/or septal reconstruction with a median follow‐up of 2.6 years. Overall, saddle nose reconstruction in GPA patients is safe even if an increased rate of revision surgery has to be expected compared with individuals without GPA undergoing septorhinoplasty. Most implanted grafts were autografts of calvarial bone or costal cartilage. For septal perforation reconstruction, few studies were available. Therefore, based on the available data for surgical outcomes, it is impossible to make evidence‐based recommendations. All included GPA patients had minimal or no local disease at the time of reconstructive surgery. Therefore, the relationship between disease activity and its impact on surgical outcomes remains unanswered. The potential impact of immune‐modulating medications on increased complication rates and the impact of prophylactic antibiotics are unknown. Conclusions This study systematically reviews the efficacy and safety of surgical reconstruction of external nasal deformities in GPA patients for the first time. Saddle nose reconstruction in GPA patients with minimal or no local disease is a safe procedure despite an increased rate of revision surgery. Further research is required regarding the impact of antibiotic prophylaxis, immune‐modulating therapy, long‐term outcomes and functional outcomes measured with subjective and objective parameters.

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“…Inflammatory diseases were common causes in the past. 2,3 valve. Rectifying a saddle nose without addressing this area will leave functional problems such as nasal obstruction.…”

Section: ■ Etiology Of Saddle Nosementioning

confidence: 99%

“…3 Understanding and having a map of the deformity involved is the first step to planning for a successful outcome. …”

Section: Classification Of Saddle Nose Deformitymentioning

confidence: 99%

7 Correction of the Saddle Nose

Jiang¹

2016

Aesthetic Plastic Surgery of the East Asian Face

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Saddle nose: Classification and therapeutic management

Abstract: Saddle nose is a classical condition in facial reconstructive surgery. The proposed treatment strategy is based on detailed analysis of the clinical signs, resulting in a graduated solution adapted to each clinical case according to the severity of the deformity.

Cited by 36 publications

References 6 publications

Nasal Deformities following Nasoseptal Flap Reconstruction of Skull Base Defects

Nasal Deformities following Nasoseptal Flap Reconstruction of Skull Base Defects

Saddle nose deformity and septal perforation in granulomatosis with polyangiitis

7 Correction of the Saddle Nose

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