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May 1952

NASAL FRACTURES: The Neglected Nose

Author Affiliations


AMA Arch Otolaryngol. 1952;55(5):582-585. doi:10.1001/archotol.1952.00710010596008

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A NASAL fracture was first observed by one of us (J. G. R.) some 50 years ago as a third-year medical student. In the course of a baseball game, a grandstand collapsed; the victim suffered only a broken nose. Imbued with enthusiasm for modern surgical procedure, the student thought immediately of a hospital operating room and aseptic facilities. However, the local country practitioner who immediately assumed charge had other ideas. Removing from his pocket a lead pencil, he proceeded to pass it forcibly up each nostril of the patient; with vice-like thumb and finger he proceeded to mold the nose to his not too discriminating taste while the patient writhed in agony. The technique was not particularly impressive at the time.

While this variety of surgery is, of course, a thing of the past, it is feared that the feeling still prevails that reduction of a nasal fracture is a

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