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September 1958

Retrograde Intramucosal Hump Removal in Rhinoplasty

Author Affiliations

New Orleans
From the Eye, Ear, Nose, and Throat Hospital.

AMA Arch Otolaryngol. 1958;68(3):346-350. doi:10.1001/archotol.1958.00730020358009

Fig. 1.—Widespread of periosteum over nasal dorsum.

The purpose of this communication is to report a technique of retrograde intramucosal hump removal in rhinoplasty. This method is presented because, in our hands, it has proved more accurate, less traumatic, infinitely easier to teach and master, and is followed by considerably less hemorrhage and postoperative morbidity than is the case when the nasal hump is removed in the conventional manner with the Joseph saw or one of its many modifications. In addition, if the nasofrontal angle is abnormally shallow, deepening becomes a remarkably simple procedure.

Technique  After topical anesthetization of the interior of the nose, but before infiltration of the external framework, the amount of hump to be removed is carefully outlined on both sides with methylene blue, the effect of the amount of shortening to be done and the contemplated tip work being taken into consideration. The direction and location

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