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MCQ – 66146

Question

 Identify the Deformity shown in the Photograph 
A.

 Crooked nose deformity

B.

 Saddle nose deformity

C.

 Hypertelorism

D.

Polly beak deformity

Show Answer

Correct Answer � B

Explanation

 Ans : B.)Saddle nose deformity

Saddle Nose

  • Depressed nasal dorsum may involve either bony, cartilaginous or both bony and cartilaginous components.
  • Most common etiology : Nasal trauma.
    • Other causes:Septal hematoma, excessive surgical removal, trauma, syphilis, abscess, Leprosy, tuberculosis ,polychondritis, granulomatosis with polyangiitis, cocaine abuse, 
  • It can usually be corrected with augmentation rhinoplasty by filling the dorsum of nose with cartilage, bone or synthetic implant.
    • If the depression is only cartilaginous, cartilage is taken from the nasal septum or auricle and laid in single or multiple layers.
    • If deformity involves both cartilage and bone, cancellous bone from iliac crest is the best replacement.
    • Autografts are preferred over allografts.
    • Saddle deformity can also be corrected by synthetic implants of teflon or silicon, but they are likely to be extruded.

Crooked Nose : Nasal Dorsum is not straight but twisted.

Polly beak deformity is a complication of rhinoplasty defined by the typical appearance of a dorsal nasal convexity resembling a parrot’s beak.

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