The classical term "saddle nose is used to describe a number of nasal deformities of the lower two thirds of the nose resulting from loss of septal height and tip support. These deformities include underprojected cartilaginous dorsum, underprojected and over-rotated nasal tip, retracted columella, acute nasolabial angle, broad nasal tip, wide alar base, and an infratipxolumella ratio of 1:1. Congenital causes are rare, but previous septo-plasty or rhinoplasty, facial trauma, and septal abscess account for most saddle nose problems. Cocaine abuse and granulomatous disorders may result in the same type of deformities
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