The most common causes of saddleback deformities are abscess of the septum, too complete a submucous resection, trauma and some congenital anomalies. There is a growing and justifiable tendency to correct more moderate deformities, especially for persons in whom they cause a feeling of inferiority; but until recently only the more extreme deformities were routinely operated on. Beck and Guttman1 cautioned against operating on patients who are psychically unstable or in whom the psychic disturbance is out of proportion to a minor defect, lest the operative procedure serve as a basis for a new obsession.
The saddleback nose is one of the easiest and most satisfactory of deformities to correct. The methods and materials are varied, however. Inert transplants, such as paraffin, gold, silver, celluloid and ivory, have been practically abandoned, although there are still some staunch advocates of the use of ivory.2 The main objections are the rigidity of
HARBERT F. CORRECTION OF SADDLEBACK DEFORMITIES OF THE NOSE BY SPECIALLY CUT CARTILAGE FROM THE EAR. Arch Otolaryngol. 1940;31(2):339–341. doi:10.1001/archotol.1940.00660010341010