{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T12:14:40Z","timestamp":1776687280995,"version":"3.51.2"},"reference-count":7,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:p>The saddle nose deformity typically occurs after the loss of underlying septal support with loss of projection of the middle nasal vault. This creates a saddling effect as the upper lateral cartilages contract and forms a dip in the profile. The saddle nose deformity can occur from many different etiologies, including septal hematoma, fracture of the septum after trauma, disruption of the dorsal L-strut support after septoplasty, and metabolic disorders resulting in the loss of septal support. In most cases, the nasal bones remain in their native position creating a discrepancy in dorsal height and deformity. Correction of the saddle nose deformity can be performed using one of the two primary approaches. The most basic option is to simply fill the defect with a cartilage onlay graft (solid graft, diced cartilage and fascia, and so on) to create a normal dorsal line. This approach can be effective in many cases. Over time, the onlay graft may descend and create deformity or become visible. The other approach involves opening the middle nasal vault, placing spreader grafts, and reconstituting the dorsal L-strut, performing septal reconstruction or extracorporeal septoplasty. In this paper, we present our technique of repairing the saddle nose deformity using a \u201cpush up\u201d method that preserves the middle vault anatomy and reconstitutes the proper projection of the middle-third of the nose.<\/jats:p>","DOI":"10.1055\/a-1803-6341","type":"journal-article","created":{"date-parts":[[2022,3,22]],"date-time":"2022-03-22T00:06:36Z","timestamp":1647907596000},"page":"488-494","source":"Crossref","is-referenced-by-count":9,"title":["Correction of the Saddle Nose Deformity Using the \u201cPush Up\u201d Technique"],"prefix":"10.1055","volume":"38","author":[{"given":"Dean M.","family":"Toriumi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head & Neck Surgery, Rush University Medical Center, Chicago, Illinois"},{"name":"Private Practice, Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milos","family":"Kovacevic","sequence":"additional","affiliation":[{"name":"Private Practice - Facial Plastic Surgery, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,10,4]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.asj.2006.01.006","article-title":"The role of diced cartilage grafts in rhinoplasty","volume":"26","author":"R K Daniel","year":"2006","journal-title":"Aesthet Surg J"},{"issue":"07","key":"ref2","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1288\/00005537-199407000-00024","article-title":"Subtotal reconstruction of the nasal septum: a preliminary report","volume":"104","author":"D M Toriumi","year":"1994","journal-title":"Laryngoscope"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1001\/archfaci.7.4.218","article-title":"Extracorporeal septoplasty for the markedly deviated septum","volume":"7","author":"W Gubisch","year":"2005","journal-title":"Arch Facial Plast Surg"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.anorl.2013.01.006","article-title":"Saddle nose: classification and therapeutic management","volume":"131","author":"M Durbec","year":"2014","journal-title":"Eur Ann Otorhinolaryngol Head Neck Dis"},{"key":"ref6","first-page":"124","article-title":"Cirurgia conservadora do dorso nasal\u2014a filosofia do reposicionamento e ajuste do septo piramidal (SPAR)","volume":"42","author":"M BJ Ferraz","year":"2013","journal-title":"Rev Bras Cir Cabec\u00b8a Pescoc\u00b8o."},{"key":"ref7","volume-title":"Spare roof technique","author":"M C Ferriera","year":"2020"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1089\/fpsam.2022.0117","article-title":"Subdorsal cantilever graft for elevating the dorsum in ethnic rhinoplasty","volume":"24","author":"D M Toriumi","year":"2022","journal-title":"Facial Plast Surg Aesth Med"}],"container-title":["Facial Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1803-6341.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T12:11:15Z","timestamp":1682683875000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1803-6341"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,21]]},"references-count":7,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2022,12,19]]},"published-print":{"date-parts":[[2022,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1803-6341","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0736-6825","1098-8793"],"issn-type":[{"value":"0736-6825","type":"print"},{"value":"1098-8793","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,3,21]]},"published":{"date-parts":[[2022,3,21]]}}}