Saddle nose: Autologous augmentation techniques and their relevant patient satisfaction

Introduction: The analysis and treatment of saddle nose have always been a surgical challenge. The study describes the three-stage classification of this deformity as well as a treatment algorithm adapted to each case. Materials and methods: A prospective study was carried out on 46 patients with saddle nose. The patients were divided into 3 groups according to the severity of saddling; minimal, moderate and major. The authors describe the treatment protocol adopted for each stage. Results: This series comprised 16 cases of minimal saddle nose, 20 cases of moderate saddle nose and 10 cases of major saddle nose. Minimal saddle nose was treated by enforcing and reconstructive septoplasty and dorsal septal augmentation grafts, conchal grafts were used to treat moderate saddle nose, and costal cartilage was used to reconstruct major saddle nose. We have used the open rhinoplasty approach to correct saddle nose in all cases. Surgical revision was never required. Conclusion: Saddle nose is a condition that is quite commonly faced by Otolaryngologists. The proposed treatment strategy is based on a meticulous analysis of the saddle nose, resulting in a graduated reconstruction adapted to each stage according to the severity of deformity. Level of evidence: IV