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October 1955

Rhinologic Versus Orthopedic Rhinoplasty

AMA Arch Otolaryngol. 1955;62(4):409-413. doi:10.1001/archotol.1955.03830040063011

It is generally admitted that the details of the rhinoplastic operation offer no great problem even to the humblest surgeon. Why, then, does it represent a utility of value to a relatively small number of rhinologists? What is it that prevents its general adoption?

The purpose of this paper is an attempt to answer the above questions and perhaps to lay down a few principles, to save the novice the wreckage that lies along the path of trial-and-error experience.

To bring out the advantages of the rhinologic concept, let us compare it with the orthopedic philosophy as originated by Joseph.1 To understand his operation, one must know something of the man himself.

Jacques Joseph2 was born in Koenigsberg, Prussia, in 1865 and received his medical training in Berlin. After a few years of general practice, he directed his attention to orthopedic surgery. From this he gradually turned to