The benefits to be derived from a well executed submucous resection for the relief of nasal obstruction when this type of treatment has been indicated cannot be denied. Unfortunately, owing to the lack of any well established indication, the operation has been used to relieve every type of nasal obstruction and has so frequently failed to benefit the patient that many otolaryngologists now deprecate its value.
With the impetus given to the study of nasal physiology in the past two decades, physicians have come to believe that the distribution of air in the nasal passages is as important as the quantity. Thus, in cases in which the obstruction is due solely to a septal abnormality a submucous resection can ordinarily be expected to assure an adequate airway. But when other factors concerned in the distribution of air, such as a faulty conformation of the vestibule, the olfactory sulcus or the
BOLOTOW NA. SURGICAL TREATMENT OF NASAL OBSTRUCTION: INDICATIONS FOR A PLASTIC APPROACH TO SEPTAL DEFORMITY; DETAILS OF PLASTIC PROCEDURES. Arch Otolaryngol. 1944;40(3):198–202. doi:10.1001/archotol.1944.00680020252011
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