Risk factors for intraoperative saddle nose deformity in septoplasty patients

  • Jung Joo Lee
  • Sang Duk Hong
  • Hun-Jong Dhong
  • Seung-Kyu Chung
  • Hyo Yeol KimEmail author



Septoplasty is one of the most common otolaryngologic procedures. Previous studies have reported that the overall rate of significant change in cosmetic appearance of the nose after septoplasty ranged from 0.4 to 3.4%, and saddle nose was the most commonly cited deformity. In this study, we evaluated the risk factors for intraoperative saddle nose in a group of septoplasty patients.


This case–control study (1:2 case:control) was conducted based on retrospective chart review. Intraoperative saddle nose was observed in 108 (5.1%) of 2106 patients who underwent septoplasty in our center between January 2008 and December 2017. The control group consisted of 216 randomly selected, hospital-matched septoplasty patients who had no intraoperative saddle nose deformity in the same period. The demographic data, preoperative endoscopic findings, and surgical procedures of the two groups were analyzed to identify possible risk factors of intraoperative saddle nose deformity.


The mean ages of the two groups were 34.8 years (saddle group) and 33.2 years (control group). In multivariate logistic regression analysis, clinical risk factors associated with intraoperative saddle nose were female gender (OR 3.39; 95% CI 1.76–6.54; p < 0.01), severe caudal septal deviation (OR 2.22; 95% CI 1.30–3.79; p = 0.003), and intraoperative finding of septal cartilage fracture (OR 3.96; 95% CI 1.92–8.19; p < 0.01).


Severe caudal septal deviation, intraoperative fracture of septal cartilage, and female gender were risk factors for intraoperative saddle nose deformity in our study population.


Septoplasty Saddle nose Risk factor 



This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korean government (MEST) (2017R1A2B4006453).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interests.

Ethical approval

This study was reviewed and approved by the Institutional Ethics Committee at the Samsung Medical Center (IRB number: SMC 2018-05-136).


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© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Otorhinolaryngology-Head and Neck Surgery Samsung Medical CenterSungkyunkwan University School of MedicineSeoulSouth Korea

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