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September 2006

Rhinoplasty Techniques: A Historical Perspective and Survey of 8155 Single Surgeon Cases

Author Affiliations

Copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2006

Arch Facial Plast Surg. 2006;8(5):341-345. doi:10.1001/archfaci.8.5.341

Correspondence: Dr Stucker, Department of Otolaryngology–@Head and Neck Surgery, Louisiana State University Health Sciences Center at Shreveport, 1501 Kings Hwy, Shreveport, LA 71130 (fstuck@lsuhsc.edu).

The teaching of rhinoplasty surgery has evolved over the past 50 years to its present status of measured and systematic techniques routinely taught in our residencies and fellowships. The impact of this is a measurable improvement in the technical expertise of a trained otolaryngologist. There is a profound difference between the level of formal training given today and that of 4 or 5 decades ago. Today, the majority of otolaryngology–head and neck surgery residents and most assuredly those fellowship-trained individuals are remarkably well schooled in nasal surgery. The transition from a few experts of 50 years ago to today's flow of consistently well-trained specialists is a remarkable evolution. This educational advancement demonstrates how markedly different rhinoplasty training was 50 years ago. The difficulties encountered by interested individuals to acquire the necessary skills to present themselves as rhinoplasty surgeons were immense. The obstacles a fledgling rhinoplasty surgeon had to overcome prior to the residency programs accepting the teaching responsibility of their field was daunting and is a testimony to some of the early leaders in the field.