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What is Saddle Grafting?

Published in Medical Procedures 2 mins read

Saddle grafting is a surgical procedure used to reconstruct the nose after a significant injury or defect. It involves taking a piece of skin and cartilage from the ear, shaping it into a saddle-like structure, and then grafting it onto the nose.

How Saddle Grafting Works:

  1. Harvesting the Graft: Surgeons typically take the graft from the ear, specifically the conchal bowl. This area contains both skin and cartilage, which are essential for creating a stable and aesthetically pleasing graft.
  2. Shaping the Graft: The harvested tissue is carefully shaped into a saddle-like form, mirroring the contours of the missing nasal structure.
  3. Grafting the Saddle: The shaped graft is then placed on the nose, where it is secured using sutures. The graft will eventually integrate with the surrounding tissue, providing a stable and permanent solution.

Benefits of Saddle Grafting:

  • Improved Appearance: Saddle grafting can significantly improve the appearance of the nose after injury or surgery.
  • Improved Function: In some cases, saddle grafting can also improve breathing by restoring the shape of the nasal structure.
  • Permanent Solution: The grafted tissue becomes a permanent part of the nose, providing a long-lasting solution.

Potential Risks and Complications:

  • Infection: As with any surgery, there is a risk of infection.
  • Graft Rejection: In rare cases, the body may reject the grafted tissue.
  • Scarring: Scarring may occur at the donor site (ear) or the recipient site (nose).

Recovery and Aftercare:

Recovery from saddle grafting typically takes several weeks. Patients will need to avoid strenuous activities and protect the graft site from injury. Regular follow-up appointments with the surgeon are essential to monitor healing and address any concerns.

Saddle grafting is a complex procedure that should only be performed by a qualified and experienced surgeon. It is important to discuss the risks, benefits, and alternatives with your doctor before making a decision.

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