Saddle Nose: Symptoms, Causes, and Treatments

Written by Medicover Team and Medically Reviewed by Dr Bharadwaj , ENT

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Saddle Nose is a structural deformity in which the bridge of the nose collapses, causing a noticeable dip. It can affect both the looks and the function of the nose, sometimes making it difficult to breathe properly.

This problem usually happens because of injury, surgery, or some illness. Early diagnosis and treatment are very important to restore normal function and to avoid any long-term complications.

What are the Different Types of Saddle Nose?

Saddle Nose can be classified based on the extent of nasal support loss and the structures involved. Here are the different types of saddle nose:

• Type I (Mild): Involves minor cartilage collapse, usually limited to the nasal septum. Aesthetic changes are subtle, and nasal function is often preserved.
• Type II (Moderate): Includes both cartilage and partial bone loss, leading to a visible dip in the nasal bridge. Breathing may be affected.
• Type III (Severe): Significant collapse of cartilage and bone structures. Results in major cosmetic deformity and functional impairment, often requiring complex reconstruction.

Each type requires a proper approach to restore both nasal structure and function effectively.

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What Are the Common Causes and Risk Factors of Saddle Nose?

Saddle Nose deformity typically develops when the nasal bridge loses its structural support. Understanding its causes and risk factors is very important for early intervention and prevention.

Causes

• Nasal trauma (e.g., fractures, sports injuries)
• Septal hematoma or abscess left untreated
• Complications from prior rhinoplasty
• Autoimmune conditions (e.g., granulomatosis with polyangiitis)
• Infections like syphilis or tuberculosis
• Chronic intranasal drug use (e.g., cocaine)

Risk Factors

• Repeated nasal surgeries
• History of untreated nasal injuries
• Autoimmune disease diagnosis
• Long-term nasal steroid use
• Exposure to unqualified cosmetic procedures

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What are the Saddle Nose Symptoms and Warning Signs?

Saddle Nose symptoms can affect both appearance and breathing. Recognizing these symptoms early can help prevent further nasal collapse and complications.

Common Symptoms

• Depression or dip in the nasal bridge
• Nasal congestion or blockage
• Difficulty breathing through the nose
• Whistling sound when breathing

Severe Symptoms

• Noticeable facial asymmetry
• Recurrent nasal or sinus infections
• Nasal valve collapse
• Impaired sense of smell

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How is Saddle Nose Diagnosed?

Diagnosing Saddle Nose involves a detailed clinical evaluation to understand the extent of nasal collapse and identify the underlying cause. Early diagnosis is crucial to prevent the condition from worsening.

Common Diagnostic Procedures

• Physical examination: To assess visible changes and nasal structure
• Nasal endoscopy: To examine the nasal passages from the inside
• CT scan or MRI: To view the nasal bone and cartilage clearly
• Blood tests: To check for infections or autoimmune disorders, one needs proper medical tests and thorough examination, you see.
• Medical history review: Including past trauma, surgery, or chronic conditions

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What Are the Treatment Options for Saddle Nose?

Saddle Nose treatment focuses on restoring nasal shape and improving breathing. The approach depends on how much support is lost and what caused the problem.

Non-Surgical Options (for mild cases)

• Nasal fillers (temporary cosmetic correction)
• External splints to support the nose

Surgical Treatment (for moderate to severe cases)

• Septorhinoplasty: Surgery to reshape and support the nose
• Cartilage grafting: Using tissue from the ear, rib, or septum
• Bone grafting: Used when the nasal bridge has lost bone support

Recovery Timeline

• Initial healing: 1 to 2 weeks
• Final results: 3 to 6 months after surgery

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When to See a Doctor?

It's very important to consult a doctor if you notice any changes in your nose affecting breathing or appearance. Early medical check-up can help treat the symptoms properly and prevent any further damage, you know.

• If nasal deformity or collapse develops suddenly or worsens over weeks
• Breathing difficulties lasting more than a few days
• Persistent nasal congestion or blockage that does not get better even after usual treatment, you should definitely see a doctor for proper evaluation.
• Recurrent sinus infections or frequent nasal pain
• History of nasal trauma or surgery with ongoing symptoms

High-risk groups who should seek prompt medical attention

• People with autoimmune diseases
• Individuals who have had multiple nasal surgeries
• Those using intranasal drugs
• Patients with untreated nasal infections or abscesses

Seeing an ENT specialist early improves the chances of successful treatment and better outcomes.

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What Is the Recovery Process After Saddle Nose Treatment?

After treatment for Saddle Nose, recovery mainly focuses on healing the nasal structure and bringing back its proper function. Follow-up visits are very important to monitor progress and sort out any problems.

• Follow-up schedule: Regular check-ups are advised during the first few weeks and then occasionally up to 6 months to make sure healing is going well.
• Lifestyle recommendations: Avoid heavy or strenuous activities and take care to protect your nose from any injury. Using a humidifier can help keep the nasal passages moist, you know.
• Diet advice: Eat a balanced diet full of vitamins and minerals to help tissue repair. Also, stay well hydrated.
• Long-term outlook: With proper treatment and care, most patients regain normal breathing and appearance. Early treatment reduces the chances of complications.

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What Precautions Can Help Prevent Saddle Nose?

Preventing the Saddle Nose involves protecting nasal structures and managing underlying health conditions.

Prevention

• Use protective gear during sports or activities that risk nasal injury.
• Avoid intranasal drug use and seek help if needed.
• Treat nasal infections promptly and thoroughly.
• Have regular check-ups if you have autoimmune conditions or a history of nasal trauma
• Choose experienced medical professionals for nasal surgeries.

Complications if untreated

• Progressive collapse of the nasal bridge
• Chronic nasal obstruction and breathing difficulties
• Increased risk of sinus infections
• Cosmetic deformity affecting self-esteem and social interaction

Early diagnosis and careful management are crucial to prevent these issues.

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Our Experience Treating Saddle Nose

At Medicover, we understand very well how distressing saddle nose deformity can be, and our experienced doctors are fully dedicated to giving proper and individual care at every step.

Using advanced techniques and with a patient-first approach, our team works very closely with you to bring back both function and confidence. We make sure you feel fully supported, well informed, and comfortable throughout your entire treatment journey.

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