Daniel and Brenner proposed a classification for the saddle nose. Yhey are from Aesthetic & Reconstructive Plastic Surgery in Beverly Hills, California.
Type
Term
Description
0
pseudosaddle
There is a relative depression of the cartilaginous dorsum relative to the bony dorsum, but the septal support remains solid.
I
minor
A minor decrease in septal support occurs. There is some supratip depression and columella retraction.
II
moderate
Some collapse of the cartilaginous middle vault with columella retraction occurs. Loss of tip support results in reduced projection. Symptoms of nasal obstruction are common.
III
major
There is obvious depression and flattening of the middle vault. Damage to cartilaginous septal support causes a drop in the septal dorsum and roof. The nasal tip shows upward rotation.
IV
severe
There is a large septal deformity with the defect involving the bony vault, requiring structural reconstruction.
V
catastrophic
Massive defects requiring total reconstruction of the nasal structures.
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