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Current approaches to septal saddle nose reconstruction using autografts

Young, Karena; Rowe-Jones, Julianb

Current Opinion in Otolaryngology & Head and Neck Surgery: August 2011 - Volume 19 - Issue 4 - p 276–282
doi: 10.1097/MOO.0b013e32834896ce
Facial plastic surgery: Edited by Julian M. Rowe-Jones

Purpose of review To describe the contemporary techniques used for septal saddle nose and, based on these, present our approaches for correction of a spectrum of deformity severities.

Recent findings A review of different techniques currently in practice. These reflect greater emphasis on nasal structural framework repair rather than disguise and the use of autografts rather than allografts.

Summary We present our classification of septal saddle deformity, demonstrating that this condition requires a flexible surgical approach with different techniques required depending on the extent of the defect.

aThe Royal Surrey County Hospital, Guildford, Surrey, UK

bThe Guildford Clinic, Guildford, Surrey, UK

Correspondence to Mr J. Rowe-Jones, The Nose Clinic, The Guildford Clinic, 170 Priestly Road, The Surrey Research Park, Guildford, Surrey GU2 7RQ, UKTel: +44 1483 207307; fax: +44 1483 540460; e-mail:

© 2011 Lippincott Williams & Wilkins, Inc.