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In the early 20th century, Freer, in 1902, and Killian, in 1904, pioneered the submucous resection septoplasty (SMR) procedure for correcting a deviated septum; they raised mucoperichondrial tissue flaps, and resected the cartilaginous and bony septum (consisting of the vomer bone and the perpendicular plate of the ethmoid bone), maintaining septal assistance with a 1.


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0-cm margin at the caudad, for which innovations the technique ended up being the foundational, standard septoplastic treatment. In 1921, A. Rethi presented the open nose surgery method featuring an incision to the nasal septum to assist in modifying the idea of the nose. In 1929, Peer and Metzenbaum carried out the first manipulation of the caudal septum, where it stems and forecasts from the forehead.



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Cottle (18981981) endonasally fixed a septal variance with a minimalist hemitransfixion cut, which conserved the septum; hence, he advocated for the useful primacy of the closed nose surgery technique. In 1957, A. Sercer promoted the "decortication of the nose" (Dekortication des Nase) strategy which featured a columellar-incision open nose job that enabled greater access to the nasal cavity and to the nasal septum.


Goodman in the later 1970s, and by Jack P. https://topplasticsurgeons.blob.core.windows.net/portland-oregon/rhinoplasty-surgery/Rhinoplasty.html in the 1990s. Goodman urged technical and procedural development and promoted the open nose job technique. [] In 1987, Gunter reported the technical effectiveness of the open rhinoplasty technique for carrying out a secondary rhinoplasty; his enhanced techniques advanced the management of a failed nose surgical treatment. [] Anatomy of the human nose [edit] The structures of the nose [modify] Nasal anatomy: Squamous epithelium is among a number of kinds of epithelia.


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For plastic surgical correction, the structural anatomy of the nose consists of: A. the nasal soft tissues; B. the visual subunits and sections; C. the blood supply arteries and veins; D. the nasal lymphatic system; E. the facial and nasal nerves; F. the nasal bone; and G. the nasal cartilages. A.


Middle third section the skin overlying the bridge of the nose (mid-dorsal area) is the thinnest, least distensible, nasal skin, since it most adheres to the assistance structure. Lower third section the skin of the lower nose is as thicker and less mobile, since it has more sebaceous glands, especially at the nasal pointer.


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