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June 1967

Plastic Surgery

Author Affiliations

From the Baylor University Medical School, Houston.

Arch Otolaryngol. 1967;85(6):692-697. doi:10.1001/archotol.1967.00760040694020

THIS YEAR, while evaluating progress in plastic surgery, I should like to inject an occasional challenge, by indicating what is obviously still to be accomplished. One of the major areas where progress is severely lacking and acutely needed is in the relationships between various specialties with overlapping interests.

The field of facial plastic surgery is such an area of overlap, involving the general plastic surgeon, otolaryngologist, ophthalmologist, maxillofacial surgeon, general surgeon, and even the general practitioner. A chief item of disagreement focuses on who is entitled to perform plastic surgery in this area. For years the general plastic surgeon has insisted that a plastic type procedure anywhere in the body is strictly in his province. However, as specialization has advanced, most regional surgeons have felt justified in doing any procedure in their particular anatomical field of interest. Thus, the chest surgeon insists on the right to do bronchoscopy, and esophagoscopy,

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