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October 1966

Reconstructive Septonasoplasty

Author Affiliations

From the Department of Otolaryngology, McPherson Hospital, Durham, NC.

Arch Otolaryngol. 1966;84(4):457-463. doi:10.1001/archotol.1966.00760030459019

RECONSTRUCTIVE septonasoplasty is a surgical procedure which is performed to restore nasal physiology by correcting anatomical deviations of the nose. For descriptive purposes, deformities of the nose are divided into internal and external. For practical purposes, however, the majority of deformities which produce nasal obstruction involve the structures of the internal and external nose simultaneously, and a correction of all deformities is necessary to obtain the best functional results. In the past, a great deal of attention has been given to deflections of the nasal septum, and not enough attention has been given to deformities of the columella, the lobule, and the external cartilaginous and bony nose.

Of all the otolaryngological surgical procedures, it seems to me that the reputation of septal surgery is one of the poorest. One reason for this may be that some of the defects producing obstruction are not recognized and are left uncorrected; hence, the

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