AS IN ALL operations, so in rhinoplasty, the chief concern lies in the underlying principle and the execution of the technique based upon it. As regards the principle, no significant advance has been made since the genius of Joseph1 developed the original concept and technique. Whatever contributions have been made in the past several years have been of a purely technical nature. Technique has become not only a fetish but actually a handicap to real thinking. The literature is replete with a welter of detail in which one can find little unanimity. Successful results (actually obtained from a subconscious correction of inherent faults in concept) have been variously attributed to this or that instrument, to this or that suture, or to this or that maneuver or sequence. While no one can deny the importance of manual dexterity and attention to detail, correctness of principle is of more importance than
FOMON S, BELL JW, SCHATTNER A, SYRACUSE VR. RHINOPLASTY, ORTHODOX AND HETERODOX. AMA Arch Otolaryngol. 1954;59(2):170–175. doi:10.1001/archotol.1954.00710050182006
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