Saddle nose
| Classification according to ICD-10 | |
|---|---|
| M95.0 | Acquired deformity of the nose |
| ICD-10 online (WHO version 2019) | |
A deformity of the human nose , which is characterized by a depression in the bridge of the nose, is called a saddle nose . By far the most common form is the cartilaginous saddle nose in the lower third of the bridge of the nose. The bony saddle nose with a depression in the upper part of the nose profile is less common.
causes
The reason for the development of a cartilaginous saddle nose is insufficient support of the bridge of the nose by the nasal septum . Causes can be previous nasal septum operations with too radical cartilage removal, sprain injuries, bacterial inflammation of the nasal cartilage or cartilage destruction due to systemic diseases ( polychondritis , granulomatosis with polyangiitis (formerly Wegener's disease ), congenital syphilis ). Bony saddle noses (together with other changes in the shape of the face) can arise after midface fractures or in isolation as a result of specific inflammations such as syphilis . Congenital hypoplasias of the nasal bone also lead to the appearance of a saddle nose.
Symptoms
The lowering of the bridge of the nose usually leads to impairment of other support structures of the nose and thus to nasal breathing problems. The cosmetic aspect of the deformity can also lead to psychological problems.
therapy
The destruction of the cartilaginous infrastructure of the nose makes it necessary to rebuild the supporting structures. This is done as part of a rhinoplasty by transplanting cartilage - either from the nose itself or by transplanting ear cartilage or costal cartilage.
literature
- Ernst Kastenbauer (ed.): Nose, paranasal sinuses, face, oral cavity and pharynx, head salivary glands. In: Hans Heinz Naumann u. a. (Ed.): Oto-Rhino-Laryngologie in Clinic and Practice. Volume 2. Thieme, Stuttgart 1992, ISBN 3-13-676601-6 , pp. 147-148.
Individual evidence
- ↑ Birgit Adam : The punishment of Venus. A cultural history of venereal diseases. Orbis, Munich 2001, ISBN 3-572-01268-6 , p. 18 f.
