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July 1968

Septal Transplant for a Saddle Nose Due to Injury

Author Affiliations

Melbourne, Australia
From the Royal Victorian Eye and Ear Hospital, Melbourne, Australia.

Arch Otolaryngol. 1968;88(1):87-90. doi:10.1001/archotol.1968.00770010089017

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.

At present there are four standard methods for the immediate treatment of a supratip saddle of the nose associated with a fractured nose and fracture dislocation of the nasal septum. The most usual