Confronting the unexpected: saddle defect during septal surgery
Keywords:
Saddle nose, Rhinoplasty, Septoplasty
Abstract
Septal surgery is aptly captioned the " bread and butter surgery " , of the ent surgeon .Sometimes in this basic surgery the unexpected happens . A septal perforation or a saddle of the cartilaginous dorsum . The former lies hidden deep inside while the latter effects the facial profile and one becomes an object of ridicule. Utilising the resected tissue or tissues from nasal vicinity one can augment the depression . Introduction . In certain septal deformities ,the inferior border of the quadrangular cartilage overrides the premaxillary and the maxillary crest ,thereby producing a sharp or a blunt spur. Resection of the same with a " antero -posterior chondrotomy" attains a good nasal patency . A jutting premaxillary or maxillary crest is amenable to a similarly oriented " osteotomy " . DOI: 10.21276/AABS.1676References
1.M. Durbec, F. Disant :Les ensellures nasales : classification et prise en charge thérapeutique
Annales françaises d'Oto-rhino-laryngologie et de Pathologie Cervico-faciale, Volume 131, Issue 2, April 2014, Pages 83-91
2. C. Terra Brito, F. DisantThe nasal framework in rhinoplasty and its dimensions: the importance of a third element Rev Laryngol OtolRhinol, 131 (2) (2010), pp. 119-123http://www.ncbi.nlm.nih.gov/pubmed/?term=Terra+Brito+C+and+Disant+F+and+2010
Annales françaises d'Oto-rhino-laryngologie et de Pathologie Cervico-faciale, Volume 131, Issue 2, April 2014, Pages 83-91
2. C. Terra Brito, F. DisantThe nasal framework in rhinoplasty and its dimensions: the importance of a third element Rev Laryngol OtolRhinol, 131 (2) (2010), pp. 119-123http://www.ncbi.nlm.nih.gov/pubmed/?term=Terra+Brito+C+and+Disant+F+and+2010
Published
2017-10-01
Issue
Section
Case Reports
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