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All degrees of the above-mentioned deformities exist. This paper is concerned with disfiguring deformities only, most of which are combined with serious nasal obstruction. Commonly they have resulted from blows or falls, especially from baseball, football or fist encounters, yet, strangely enough, many unsightly nasal deformities start in infancy, with no record of injury. In the early period, before ossification has made much headway, the frequent habit in a child of lying always on one side of the face may undoubtedly result not only in a marked deviation but also in depression, and the frequent trick of flattening the nose in bed, against the window-pane or the school desk is not without its effect. Then the nasal processes of the superior maxillary bones, the chief buttresses of the nose, may, with advancing ossification, be fixed in a lower plane, in which case the nasal septum must adapt its redundant tissue
MARSHALL GM. CORRECTION OF NASAL DEFORMITIES: PARTICULARLY EXTERNAL LATERAL DEFLECTIONS AND DEPRESSIONS WITH OBSTRUCTING DEVIATIONS OF THE SEPTUM. JAMA. 1913;60(3):179–181. doi:10.1001/jama.1913.04340030009006
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