###Minimal saddle nose corresponds to a depression above the supratip
of the nose
Necrosis involving the nasal supratip
, tip, septum, and ala.
Rotation of the tip, exaggeration of the supratip
break and softening of the dorsal hump may follow maxillary advancements (6).
Osteotomy Tip work Valve work 1 -- -- Bilateral spreader grafts, lateral crural strut grafts 2 Lateral Domal sutures, -- cephalic strips 3 Lateral Supratip
graft -- 4 Lateral -- -- and medial 5 Lateral -- -- 6 Lateral -- -- and medial 7 Lateral Caudal strut -- and medial graft Pt.
step-off was observed in one patient on the 7[sup]th day after surgery and corrected by external reshaping and continued fixation of the mold without operation.
In 3 patients with a bony hump and supratip
depression, bony hump was rounded off and supratip
was augmented with cartilage graft.
Alar swing procedure could be used for the correction of minor supratip
depressions.8 In mild saddle deformity, cartilaginous augmentation of the nasal dorsum is useful, but if a greater augmentation is required, the autogenous bone is used.9
We used the bilobed flap advocated by Zettili as the repair of choice for defects located between 0.5 and 1.5 cm of the distal and lateral aspect of the nose particularly defects involving the lateral tip supratip
or defects near the tip 17-19.
Corticosteroid injections to the supratip
area for prolonged swelling were required in 2 patients.
Persistent convexity of the dorsum can be camouflaged with the implant placed into the radix and into the supratip
The 2.0 x 1.5-cm infiltrative, pearly lesion extended from the left nasal supratip
to the left alar groove.