Saddle nose is a nasal deformation in the bridge of the nose (the upper part) is flattened, often very close to the rest of the face.
Causes of Saddle Nose
The saddle nose can be congenital. In such cases, it is linked to genetic syndromes or fetal deformities, such as:
- Williams Syndrome
- Down’s syndrome
- Dysostosis cleidocranial
- Fetal alcohol syndrome
- Syphilis congenital.
- In addition, the saddle nose can be purchased at some trauma, and is common in athletes, boxers and others who are exposed to shocks in the region.
- Patients who may suffer the same trauma repeatedly due to their profession, such as boxers
- Patients as chronic or autoimmune diseases, which may again have this condition later
- People who demonstrate risk in general for rhinoplasty, as people who use intranasal drugs (such as cocaine), have chronic conditions that make risky surgery, patients with unrealistic expectations, among other …
The problem may also be related to diseases such as leprosy (also known as leprosy), relapsing polychondritis and Wegener’s granulomatosis.
Often, however, the person may have the lower nasal bridge and it resemble the saddle nose. This is common for members of some ethnic groups.
Other Causes of Saddle Nose
Infections of the nasal septum, leishmaniasis, leprosy, surgeries performed improperly (septpoplastias and rinoplatias) and bruises in the boxer’s nose are the most frequent causes of previous depression of the nasal dorsum.
Syphilis, leprosy and craniofacial trauma (injuries, traffic accidents etc.) are responsible for the sinking of the posterior segment. The nasomaxillary hypoplasia is also a special form of saddle nose.
Broken Nose Trauma
A broken nose is perhaps one of the most common injuries known to man. It is important to treat nasal fractures promptly and adequately to prevent saddle nose deformity.
Nasal injuries are more common in athletes and children, where they are usually undetected and untreated. Complications include septal hematoma or septal Alsace, which can lead to saddle nose deformity.
Rhinoplasty and Saddle Nose
Excess removal of the nasal structure during rhinoplasty has also been found to cause saddle nose. In such situations, either parts of the structure of the septal cartilage is reposed to avoid post rhinoplasty saddle deformity.
Nasal septum in the support and Armature of the nose. External changes occurring after two extensive removal of septal support may lead to:
- Saddle nose deformity of the cartilaginous dorsum
- retraction of the column
- drooping of the nasal tip
- widening of the nasal vestibule
- decrease in the nasolabial angle
Depression of the cartilaginous portion is particularly seen when dorsal segment of the septal cartilage is removed during submucous resection and nasal flaps are injured and torn.
Some of these deformities appear early, while others occur after a lapse of a few months or even a year. Scar tissue takes about a year to mature.
Saddle Nose diagnostic
To find out if the saddle nose is related to some underlying disease, the doctor first talk to the patient and their parents, in the case of a child, to understand that other symptoms can lead their diagnosis. A physical examination should also be done.
In addition, according to his suspicions about the possible causes of the saddle nose, you can ask for other tests. Between them:
- Genetic tests, if he suspected a genetic source of the problem
- X-ray of the skull, to understand the structure of the nose
- Blood tests, to check for infection or other problems.
diagnosis and examinations
Seeking medical help
How often the saddle nose may be commonplace, seek medical help if your child shows other unusual characteristics in the face. However, as most of the problems is congenital, it probably will be also realized by the pediatrician at birth or in clinical practice.
Causes of saddle nose deformity include resection of the nasal septum, trauma, infection, genetic inheritance, and developmental factors from birth.
The nose of the saddle treatment is surgical and consists of adding cartilage, bone or aloplásticas substances over his very bones, aiming to raise the nasal dorsum.