To a student of the literature on the art and the science of the rhinoplastic operation, the most startling fact is probably the amazing progress which has been made in this branch of surgery in a few short years. Little more than 30 years ago operations were being done by the legitimate, respected surgeons in the field which were shocking in their crudity, completely uncertain in their end-result, and extremely dangerous in their sequelae as to risk of infection or to sloughing, with its attendant, almost complete negation of result. It is no wonder, then, that until only 25 years ago the operation was done almost exclusively for restriction of major function or, by utilization of the French or Italian methods (both almost unchanged in the last century and a half), for flap replacement of actual, substantial loss of tissue of the nose.
A few historical notes will confirm these
ROWLAND AL. The Treatment of the Hump in Rhinoplasty. AMA Arch Otolaryngol. 1955;62(1):28–36. doi:10.1001/archotol.1955.03830010030004
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