The tip of the nose is upturned in a saddle shape

Introduction The saddle nose, often referred to as the collapsed nose, can be divided into light, medium and severe. The collapsed nose is lower than the normal height, and the nasal back is deformed in different degrees. However, the tip of the nose is saddle-shaped and hence the name. Mostly caused by trauma, infection and congenital malformations. The complex saddle nose bridge is obviously collapsed, the nose length is shortened, the tip of the nose is upturned, the nostrils are facing forward, the nasolabular angle is greater than 110°, the nasal base is depressed, accompanied by cartilage, mucous membrane and even skin contracture, and the nasal and nasolabial folds are deepened, often accompanied by In the middle of the face, l / 3 dysplasia and "butterfly face" deformity, nasal septum perforation, nasal dysfunction and so on. For this type of saddle nose, beauty rhinoplasty is powerless, and it is necessary to perform saddle-nosed surgery to get better results.

Cause

One type of nasal deformity, the middle of the nose is sunken, caused by nasal trauma, syphilis, tuberculosis, etc.

an examination

Related inspection

Mycobacterium tuberculosis examination of otolaryngology CT examination

Mycobacterium tuberculosis check

Tubercle bacilli examination is the most specific method for the diagnosis of tuberculosis, and tuberculosis is the main basis for the diagnosis of tuberculosis. Take a smear test or a bacterial culture method. Smear acid-fast staining microscopy is fast and simple. It is rare in China for atypical mycobacteria, so acid-fast bacilli are positive, and tuberculosis diagnosis can basically be established. In addition to sputum, specimens such as throat secretions, pleural fluid, ascites, urine, cerebrospinal fluid, gastric juice, pus, and feces can be used for testing.

Mycobacterium tuberculosis serological examination (anti-TB)

The serological test of Mycobacterium tuberculosis includes a variety of embedding antigens, crude antigens of tuberculosis, purified antigens, corresponding antigens of monoclonal antibodies, recombinant protein antigens of tuberculosis, such as 38kD, LAM, and the like. When the patient is infected with Mycobacterium tuberculosis, 40% to 70% of patients have positive antibodies (anti-TB). This test is used for the auxiliary diagnosis and differential diagnosis of various suspected tuberculosis infectious diseases.

Differential diagnosis

The simple saddle nose only shows that the nasal bridge is flat or concave, the tip of the nose is still acceptable, or the tip of the nose is round and blunt, and there is no physiological dysfunction in the nasal cavity. In this regard, the aforementioned cosmetic rhinoplasty can obtain a good appearance.

The complex saddle nose bridge is obviously collapsed, the nose length is shortened, the tip of the nose is upturned, the nostrils are facing forward, the nasolabular angle is greater than 110°, the nasal base is depressed, accompanied by cartilage, mucous membrane and even skin contracture, and the nasal and nasolabial folds are deepened, often accompanied by In the middle of the face, l / 3 dysplasia and "butterfly face" deformity, nasal septum perforation, nasal dysfunction and so on. For this type of saddle nose, beauty rhinoplasty is powerless, and it is necessary to perform saddle-nosed surgery to get better results.

Mild: The nose is slightly collapsed, the back of the nose is slightly flat and wide, and the micro-depression or curvature is unnatural.

Moderate: The nose bridge is obviously collapsed, the base of the nose is wide, the two nostrils are facing the sky, the tip of the nose and the nose are small and flat, and the length of the nose is short.

Severe: the nasal back depression is severe, the nasal bridge is not obvious and accompanied by external nasal bone structure, nasal septum and nasal mucosa malformation.

The majority of those who have rhinoplasty are mild and moderate saddle noses.

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