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In the early 20th century, Freer, in 1902, and Killian, in 1904, pioneered the submucous resection septoplasty (SMR) treatment for remedying 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), preserving septal assistance with a 1.


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0-cm margin at the caudad, for which developments the method ended up being the foundational, basic septoplastic treatment. In The Seattle Rhinoplasty Center , A. Rethi presented the open nose surgery approach featuring a cut to the nasal septum to facilitate modifying the pointer of the nose. In 1929, Peer and Metzenbaum carried out the very first control of the caudal septum, where it stems and projects from the forehead.


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



Goodman in the later 1970s, and by Jack P. Gunter in the 1990s. Goodman urged technical and procedural development and promoted the open nose job approach. [] In 1987, Gunter reported the technical efficiency of the open nose surgery approach for performing a secondary nose surgery; his improved strategies advanced the management of a failed nose surgery. [] Anatomy of the human nose [edit] The structures of the nose [modify] Nasal anatomy: Squamous epithelium is among several kinds of epithelia.


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For plastic surgical correction, the structural anatomy of the nose makes up: A. the nasal soft tissues; B. the visual subunits and sectors; 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 3rd area the skin overlying the bridge of the nose (mid-dorsal area) is the thinnest, least distensible, nasal skin, because it most abides by the assistance structure. Lower 3rd area the skin of the lower nose is as thicker and less mobile, because it has more sebaceous glands, particularly at the nasal suggestion.


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