Surgical treatment of saddle-nose deformity

U.A. Kurbanov, M.N. Sarfarozi, A.A. Davlatov, S.M. Janobilova

Republican Scientific Center of Cardiovascular Surgery
Chair of surgical diseases N2 of Avicenna TSMU

In this paper the authors presents their own experience of surgical treatment of saddle-shaped nose deformation in 75 patients in the ages from 17 to 47 years (mean age 23,7±6,4). Cartilaginous graft from the costal marginusedin all cases. In 35 cases, the operation is accomplished from transcolumellaropen access, in 40 cases – from a closed endonasal access.

For patients with distal retraction of nasal dorsum (I group) in 5 casesused grafts in shape of rectangular plates, and in 13 – boomerang ones. For patients of II group, who had a nasal bridge retraction in the middle part (in 4 cases used a graft of brick form, and in 19 cases – cymbiform ones.In the III clinical group (distal and middle part of nasal dorsum) was used a single L-shaped cartilaginous autograftin 9 cases, and in 22 cases autograft of two separate parts. In the IV group in patients with only bony defect of nasal arch in all 3 cases we used the graft of pyramid shape.

Long-term results were better after using the graft of a boomerang form in patients from first clinical group, cymbiform transplant – in the second group of patients and cymbiformtransplant with propin columellaarea – in patients of third clinical group.

Keywords: saddle nose deformity, retraction of nasal dorsum, the cartilaginous graft .

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