**Question:** Treatment of choice in Saddle nose is

A. Bone grafts
B. Soft tissue grafts
C. Silastic framework
D. Calcium hydroxylapatite

**Correct Answer:** A. Bone grafts

**Core Concept:**
Saddle nose refers to a deformity in the nasal bridge caused by various factors, including trauma, infections, or congenital abnormalities. The reconstruction of the saddle nose primarily involves filling the defect and reconstructing the bony and cartilaginous framework.

**Why the Correct Answer is Right:**
Bone grafts are a suitable option for saddle nose reconstruction due to the following reasons:

1. **Bone provides structural support:** Bone grafts contribute to the restoration of the bony framework that is essential for the overall stability and support of the reconstructed nose.
2. **Facilitates incorporation with the surrounding tissues:** Bone grafts have a high potential for integration with the recipient's bone, ensuring long-term stability and preservation of the reconstructed nose.
3. **Supports the placement of soft tissue grafts:** Bone grafts provide a solid base for soft tissue grafts, such as fascia lata or pericranium, that are necessary for the reconstruction of the cartilaginous framework and soft tissues.

**Why Each Wrong Option is Incorrect:**

A. Soft tissue grafts (e.g., fascia lata or pericranium) are crucial for reconstructing the cartilaginous framework and soft tissues, but they are not sufficient for providing structural support to the nose.
B. Silastic framework is a synthetic material and is not suitable for providing long-term structural support and integration with the recipient's tissues.
C. Calcium hydroxylapatite is a mineral component of bone and is not a suitable option for providing structural support to the nose.

**Clinical Pearl:**

In a case of saddle nose deformity, it is essential to consider a combination of bone grafts and soft tissue grafts for comprehensive reconstruction, ensuring structural support, and reconstruction of both cartilaginous and osseous framework. This approach provides optimal results in terms of both function and esthetics.