The submucous operation is the most effective measure devised for relief from nasal obstruction due to deviation of the septum.
If precautions are observed, it is my belief that this operation may be performed with a minimum amount of weakening of the nasal structure and without injury to the contour of the nose. It is a legitimate operation, but one with distinct and unusual reservations. It is well, therefore, that careful consideration should be given each case before operation is advised, for it may be followed by deformity even when performed by a skilful surgeon. It demands minute attention to details, technical skill and manual dexterity on the part of the surgeon; the last mentioned requirement is frequently overlooked.
Deviated septums are common in childhood. They are said by competent authorities to be present in 75 per cent of the adults of the caucasian race. In fully 50 per
CARTER WW. THE PREVENTION OF NASAL DEFORMITIES FOLLOWING SUBMUCOUS OPERATION. Arch Otolaryngol. 1928;8(5):555–563. doi:10.1001/archotol.1928.00620020583005
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