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Article
February 1947

ROLE OF COLUMELLAR AND SEPTOCOLUMELLAR SUTURES IN RHINOPLASTY

Arch Otolaryngol. 1947;45(2):178-190. doi:10.1001/archotol.1947.00690010187005
Abstract

TO of the most difficult accomplishments in the field of rhinoplastic surgery. Not only must the nose be pleasing to look at, but the result can be considered adequate only when the trained observer is unable to detect the reconstruction. In the article "Introduction of an Artistic Point of View in Regard to Rhinoplastic Diagnosis,"1 great emphasis is laid on some of the outstanding faulty end results of nasal reconstruction. About 90 per cent of all artistic errors are centered around the nasal tip, involving the columella, the nostrils, the septolabial angle and the philtrum.

The basic steps in the classic operation are: (1) separation of the soft tissues of the nose, (2) transsection of the membranous septum down to the anterior nasal spine of the maxilla, (3) correction of the bony vault, (4) reduction of the septum and of the upper lateral cartilages, (5) modeling of the lower lateral

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