When one speaks of the nose in its relation to reparative surgery, the implication is not quite the same as when one sounds the familiar "eye, ear, nose and throat." In the main, in reparative surgery, one is concerned with the visible organ and its component elements as far as the general level of the face. This is not to say that the sinuses and deeper structures are out of the picture; they are always present in the mind of the operating surgeon. It simply means that in most cases actually presented the problem is confined to the visible organ, a part of the general subject which, curiously enough, has not been given the benefit of such intensive study as has been accorded to the areas not directly visible. There are, of course, good reasons for this difference. Until recently, it has been the predominant view of the medical profession