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At the recent meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Chicago, Paul A. Blair, Randall P. Weyrich, and Mark A. Mashburn, all from Tulane University, New Orleans, presented a study that compared results from patients who had undergone open rhinoplasty with those who had undergone closed rhinoplasty. Eighty-nine patients were in the study; 44 of whom underwent the open procedure and 45 of whom underwent the closed procedure. All patients had the same surgeon, and all had preoperative and postoperative photographs taken by the same technique. Using a 100-point grading system, all 178 sets of photographs were graded independently by the three authors. The graders, who subtracted points for various defects and imperfections, did not know which photographs were preoperative or postoperative, or which method of surgery was used. Using the Student's t test to analyze the results, there was no statistically significant difference between