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Abstract
The term saddle nose describes the abnormally concave or depressed nasal dorsum in profile. It is reminiscent of an English riding saddle.
This deformity has also been described as a pug nose or boxer’s nose, both of which refer to various degrees of nasal dorsal depression.
It can be congenital or acquired. Various degrees of nasal dorsal depression can be noticed as a part of individual, familial, syndromic, and racial characteristics. Most saddle-nose deformities are acquired. A common theme in all acquired saddle-nose deformities is a structural compromise of the nasoseptal cartilage leading to decreased dorsal nasal structural support.
The most common surgical cause is Over-resection of septal cartilage during submucous resection or septoplasty.