Saddle shaped nose is due to: September 2002
**Core Concept**
A saddle-shaped nose is a physical deformity characterized by a concave or depressed nasal bridge, resulting from a loss of nasal bone height or integrity. This condition often leads to aesthetic and functional impairments.
**Why the Correct Answer is Right**
The saddle-shaped nose is typically caused by a fracture of the nasal bones, particularly the nasal septal bone and/or the upper lateral cartilages. This type of fracture can result from a direct blow to the nose, leading to a displacement or collapse of the nasal bridge. The nasal septal bone is a thin, flat bone that forms the central part of the nasal septum, and its fracture can cause a saddle-shaped deformity. The upper lateral cartilages, on the other hand, provide structural support to the nasal passages and are also susceptible to injury.
**Why Each Wrong Option is Incorrect**
**Option A:** Not relevant to the saddle-shaped nose deformity.
**Option B:** While a deviated septum can cause nasal obstruction, it does not directly cause a saddle-shaped nose.
**Option C:** A hump on the nose is a different deformity altogether, characterized by an excessive elevation of the nasal bridge.
**Clinical Pearl / High-Yield Fact**
A saddle-shaped nose can be a complication of nasal trauma, particularly in the setting of a direct blow to the nose. It is essential for clinicians to recognize this condition and take prompt action to address any underlying fractures or cartilage damage.
**Correct Answer: C. A hump on the nose is a different deformity altogether, characterized by an excessive elevation of the nasal bridge.**