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August 1948


Arch Otolaryngol. 1948;48(2):189-201. doi:10.1001/archotol.1948.00690040198007

THE PURPOSE of this paper is to discuss the interrelationship of septal and external nasal malformations and the rationale of rhinoplastic reconstruction. Although an extensive literature is available on descriptive and topographic nasal anatomy, contributed by such authorities as Zuckerkandl,1 Zarnicko2 and others, comparatively little that is authentic can be found on the surgical relationship of the malformed septum and the deformed external nose. Even Joseph's valuable book on rhinoplasty is not an exception in this regard.3

During the last few years, as rhinoplasty became widely popular and rhinologists displayed great interest in this field, new views and methods appeared in the literature. In a number of articles the reconstruction of the septum, particularly, became the chosen target of discussion, the role played by the septum as a supporting structure receiving special attention.4 Some challenged the accepted view that the position of the cartilaginous dorsum and tip depends on the

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