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January 1955


AMA Arch Otolaryngol. 1955;61(1):38-45. doi:10.1001/archotol.1955.00720020051006

THE ORTHODOX rhinoplasty has been a utility of value to relatively few surgeons: 1. Because of its fortuitous nature. An operation based for its success on the excision of skeletal tissue must carry the penalty of asymmetrical healing of the overlying soft parts. Thus, a nose well modeled at the time of surgery too often months later will appear less satisfactory—an eventuality which the most scrupulous attention to technical detail cannot forestall. 2. Because success is possible only after prolonged trial and error. The concept provides no accurate gauge as to the amount of bone and cartilage to be removed or added.

To overcome these faults and thus make the operation less individual, we tried shifting emphasis back and forth from one aspect of the procedure to another. As a result, techniques were developed which at first seemed to be sound but later proved disappointing. We finally came to the

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