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Article
January 1947

MANAGEMENT OF SEPTAL DEFORMITIES IN RHINOPLASTIC CORRECTION

Author Affiliations

NEWARK, N. J.

Arch Otolaryngol. 1947;45(1):77-89. doi:10.1001/archotol.1947.00690010084007
Abstract

WHEN one contemplates the correction of a nasal deformity, one is concerned with both the function and the external appearance of the nose. Function and appearance are intimately related, and a correction of one is not performed without serious consideration of the other. In medicine one is frequently called on to sacrifice appearance in order to improve function. The converse is seldom done. Proetz1 vividly stated that "the patient's measure of a successful treatment— and it should be the physician's—is a nose that works, a nose of which he is not conscious." It is the purpose of this paper to discuss the management of septal deformities in conjunction with rhinoplasty.

ANESTHESIA  A local anesthetic is always the anesthetic of choice. A preliminary packing saturated with 2 per cent, 5 per cent or 10 per cent cocaine hydrochloride insures adequate topical anesthesia. In addition, a solution of procaine hydrochloride containing

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