Septal transplant for a saddle nose due to injury

Abstract

A supratip depression or saddle is a fairly common complication of a fractured nose. It may result from a hematoma of the septum or a fracture dislocation of the septal cartilage. The supratip saddle may also be associated with a more generalized depression of the nasal dorsum due to extensive comminution of the nasal bones and septum, or to a telescoping injury involving the fronto-ethmoidal region. The management of a patient with a fractured nose and fracture dislocation of the septal cartilage leading to a supratip saddle can be difficult. The correction of this deformity at a later stage may not produce a satisfactory cosmetic result and therefore correct management at the time of injury is important.