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To the Editor:—
Permit me to offer a suggestion in connection with Dr. Nelson's method of preventing a perforation in submucous resection (The Journal, Nov. 19, 1910, p 1875): Incise the mucous membrane and perichondrium at B instead of at A and retract. Then dissect forward the tissue anterior to the incision and incise the cartilage at A. This allows the flap from B to A to cover the stump of cartilage. If this is not done the incised membrane undergoes cicatricial retraction and leaves a dry and crusted surface, besides delaying healing.
Bardes A. Prevention of Perforation in Submucous Resection of the Nasal Septum. JAMA. 1910;55(22):1910. doi:10.1001/jama.1910.04330220054026
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