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Article
May 1987

Complications of External Rhinoplasty-Reply

Arch Otolaryngol Head Neck Surg. 1987;113(5):561. doi:10.1001/archotol.1987.01860050107034

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Abstract

In Reply.—We thank Jack R. Anderson, MD, for his letter. The concepts expressed are extremely important. However, two very disturbing associations are implied. First, Dr Anderson has associated the photographs in our article with a declaration of inept surgery. This equation is obviously seriously flawed. Second, the ideal is mistaken for the real. Ideally, sequelae should not occur with attentive and informed supervision. Realistically, sequelae do occur even with attentive and informed supervision. Dr Anderson's words "... it is hard to see..." are certainly reflective of his circumstances. This is the reason we, rather than he, wrote the article. After he has performed more than 2000 open rhinoplasties, it may be difficult to see the sequelae of initial experiences.

We have publicly encouraged the acceptance and use of the external (combined) rhinoplasty approach since 1980. Our experience with it goes back nine years. Still, we ask your readers to note our

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