", where the bridge of the nose collapses.
deformity and an S-shaped deformity), and septal fracture, which is often not diagnosed.
Regarding the new classification, the upper airway involvement includes recurrent epistaxis, nasal crusting, nasal septum perforation, saddle-nose
deformity, and chronic or recurrent sinus inflammation [5,6].
Other symptoms include nasal membrane ulcerations and crusting, saddle-nose
deformity, inflammation of the ear with hearing problems, inflammation of the eye with sight problems, cough (with or without the presence of blood), pleuritis, (inflammation of the lining of the lung), rash and/or skin sores, fever, lethargy weakness, loss of appetite, weight loss, arthritic joint pain, night sweats, and haematuria which may or may not be indicated by a change in urine colour.
In the nasal cavity group, the only long-term complications were sleep apnea and saddle-nose
deformity, which occurred in 1 patient each (14%).
deformity can occur as a result of trauma to the nose, but it has also been well described in the setting of infections such as leprosy and syphilis and idiopathic inflammatory conditions such as granulomatosis with polyangiitis (formerly known as Wegener granulomatosis) and relapsing polychondritis.
After drainage, examination of the nasal septum showed complete loss of all septal cartilage support, resulting in a severe saddle-nose
deformity (figure 3).
One patient had an early loss of septal cartilage and nasal support, which developed into a crooked and saddle-nose
deformity requiring reconstruction 7 months later.
In addition, a large septal perforation without saddle-nose
deformity was noted.
The swinging-door technique violates the principle of maintaining an intact L strut, but it does not create saddle-nose
A 73-year-old woman with a history of Wegener's granulomatosis presented with a saddle-nose
deformity (figure 1).
In rare cases of untreated advanced disease, a saddle-nose
deformity may occur.