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Article
April 1948

COMBINED SEPTAL RESECTION AND RHINOPLASTY FOR RESTORATION OF NASAL RESPIRATORY FUNCTION

Author Affiliations

Head of the Otolaryngological Section of the Surgical Service of the Birmingham General Hospital, Veterans Administration VAN NUYS, CALIF.

Arch Otolaryngol. 1948;47(4):395-405. doi:10.1001/archotol.1948.00690030417002
Abstract

THIS ARTICLE concerns itself entirely with indications and operative procedures for the restoration of the respiratory function of the nose. In accomplishing this thoroughly, it is often necessary for the rhinologist to employ some of the rhinoplastic procedures. It may be argued that the rhinologist can perform the septal resection and have the plastic surgeon do the rest. I have found this impracticable. As evidence of the impracticability, there is the lack of agreement as to which should be done first. Byars1 stated that the rhinoplasty should be done first, as too much septal resection may interfere with the plastic work later. On the other hand, Eisenstodt2 pointed out that lateral osteotomy narrows the nasal chamber. If there is already an obstructive deviation, it may not be possible to perform osteotomy.

It has been my experience that the standard submucous resection fails in a great many cases because the resection

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