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Article
September 30, 1905

THE NASAL SEPTUM; A DESCRIPTION OF THE AUTHOR'S PRESENT MANNER OF PERFORMING THE WINDOW-RESECTION FOR DEFLECTIONS.

JAMA. 1905;XLV(14):985-999. doi:10.1001/jama.1905.52510140031001h
Abstract

TYPES OF DEFLECTION.  The mucous membrane incisions in my method of performing the submucous or window resection vary with the type of deflection and for this reason I precede the details of the operation with a description of deflections as I have seen them, employing for them as much as possible the names in common use and grouping them according to their form.

Angular Deflections.  —The double-angled deflection: This variety of deviation I have found by far the commonest. It possesses a vertical and horizontal angle, joining near the base of the septum and forming a projection on the convex side not unlike the corner of a box. The vertical angle (Fig. 1) occupies the quadrangular cartilage and ascends to a varying degree, sometimes into the perpendicular plate of the ethmoid bone. The vertical angle may jut out so strongly that it presses into the inferior turbinated body. The horizontal

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