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There is probably no operation in the entire field of otorhinolaryngology which is more frequently performed than submucous resection of the nasal septum. It seems wise, therefore, at this time to consider the reasons for operative attack on this structure.
In the first place, we must remember that the septum is in many cases a minor cause of nasal insufficiency. Such a thing as a straight septum is very seldom found, for the reason that Nature never builds any of her structures on absolutely mathematical lines. She is fond of turnings and windings, of curves and spirals, and usually travels by an indirect path to the goal which she has in mind.
Many of us have been surprised to find what we considered a badly deformed nasal septum in a patient having a good intake of air. In these cases there is often no difficulty in breathing, a fact which
VOORHEES IW. CONSERVATIVE SURGERY OF THE NASAL SEPTUM. JAMA. 1913;61(13_part_2):1195–1197. doi:10.1001/jama.1913.04350140111025
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