Much has been written about the septum in recent years. Older procedures which failed in certain types of cases have been subjected to various modifications. New methods have been advocated and, while successful in the hands of some, have been found wanting by others. It is quite apparent, therefore, that surgery of the septum is not as simple as it seemed to be in the days when we had only the submucous resection and before the present era of enthusiasm for rhinoplasty. Confusion results from the fact that no one procedure is applicable to all types of cases. Another fact contributing to the lack of unanimity among rhinologists in this matter is the theory held by some that the septum is not the essential factor in the support of the nasal dorsum. Sacrificing all or the greater part of it, therefore, was advocated when necessary to provide an ample airway.
SALINGER S, COHEN BM. Surgery of the Difficult Septum. AMA Arch Otolaryngol. 1955;61(4):419–421. doi:10.1001/archotol.1955.00720020435007