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Invited Commentary
May 2017

Nasal Reconstruction in the Vasculopathic Patient—Saddle Up

Author Affiliations
  • 1Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, Indiana University School of Medicine, Indianapolis
JAMA Otolaryngol Head Neck Surg. 2017;143(5):512-513. doi:10.1001/jamaoto.2016.3491

Saddle nose deformity ranks high among the burden of disease in patients diagnosed with systemic vascular disorders. Nearly one-quarter of patients diagnosed with granulomatosis with polyangiitis (GPA) develop this deformity.1 The process contributes to the overall cosmetic, mental, and functional toll taken on by a patient. It is only in the last several decades that literature has surfaced highlighting surgical interventions for vasculitis-induced saddle nose deformity.