01290nas a2200229   4500000000100000008004100001260001700042653001400059653001100073653001100084653000900095653000900104653001600113100001400129700001800143700002100161245004600182300001000228490000700238520080100245022001401046       1999                            d  c1999 Nov-Dec10aCartilage10aFemale10aHumans10aMale10aNose10aRhinoplasty1 aAndrade M1 aFernandes V S1 aBoléo-Tomé J P00aSaddle nose: our approach to the problem.  a403-60 v233 a<p>Saddle nose is usually caused by a trauma or by excessive resection of the septal cartilage. Nevertheless, there are other, less frequent causes of injury, such as congenital, syphilis, leishmaniosis, and leprosy. Within this context, it is very likely to see widening of the bony bridge and dropping of the tip of the nose. For this clinical status, we found extremely satisfactory a therapy in which we use a dorsum cartilage graft, followed by narrowing of the nasal bridge and shortening of the nose. To achieve this aim, different kinds of materials were employed. The authors usually prefer rehydrated (0.9% saline solution) human costal cartilage. This material was used in a study of a series of patients with saddle nose in which we used open rhinoplasty and cartilage homografts.</p>  a0364-216X