What could cause a saddle nose after a septoplasty procedure?

Doctor's Answer

Thank your for your interesting question.

A saddle nose gets it's name from the shape that it forms, it looks a bit like a saddle with a depression in the middle.

There are many causes of a saddle nose, but the underlying cause is loss of support of the dorsum of the nose. Basically the internal cartilaginous septum is not strong enough to support the nose. This can be due to trauma, ischaemic necrosis, infection or surgical.

Septoplasty may have caused weakening in the septum, leading to a saddle nose deformity.

The way to fix it is reconstruction or strengthening of the septum. This is usually achieved with cartilage grafts from your rib as you probably will not have enough cartilage left in your septum.

Hope this helps.

Kind regards,

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