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Original Articles
June 1961

Septorhinoplasty: The Occlusal Film and Nasal Roof

Arch Otolaryngol. 1961;73(6):646-650. doi:10.1001/archotol.1961.00740020660005

The importance of the occlusal film in evaluating the septorhinoplasty operation was described in a prior communication.1 Particular emphasis was directed toward the proper position of the nasal septum in its relation to the nasal bones, the creation of a satisfactory airway, and the achievement of the desired esthetic effect. As cases have accumulated and more detailed studies of the x-ray films have been made, other important applications of the occlusal view have become evident. One, which is the subject of this paper, is the reestablishment of the nasal roof. Following hump removal, especially if it is a prominent one, a substantial gap is present in the nasal dorsum. Lateral osteotomies are done to help close this. What are the mechanics of this closure? How does the occlusal film aid in the demonstration, analysis, and management of this process?

That this gap in the nasal dorsum is a serious

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