MODIFICATIONS IN septorhinoplasty made during the past two decades have greatly improved the surgical techniques and results. These include better access to the bony and cartilaginous vault and the nasal septum. They vary from wide skeletonization, mobilization, and excision to downf racture without hump removal and minimal skeletonization. The septum has been approached through the complete transfixion and through the hemitransfixion and premaxillary method. Tip techniques have varied from the retrograde to total delivery of the lower lateral cartilages. These approaches are not mutually exclusive. With the aid of occlusal film studies, it has become apparent that different schools of thought may be fruitfully unified to achieve additional improvement and to serve as a base for further advances. The resulting principles and technique are described.
BERNSTEIN D. Unified Approach to Septorhinoplasty: Abstract. Arch Otolaryngol. 1965;81(3):261. doi:10.1001/archotol.1965.00750050270012
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