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

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0-cm margin at the caudad, for which innovations the strategy ended up being the foundational, basic septoplastic treatment. In  Rhinoplasty Oregon , A. Rethi presented the open nose surgery method featuring an incision to the nasal septum to assist in modifying the tip of the nose. In 1929, Peer and Metzenbaum performed the first control of the caudal septum, where it stems and forecasts from the forehead.

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Cottle (18981981) endonasally resolved a septal discrepancy with a minimalist hemitransfixion incision, which conserved the septum; therefore, he advocated for the useful primacy of the closed nose surgery approach. In 1957, A. Sercer advocated the "decortication of the nose" (Dekortication des Nase) strategy which included a columellar-incision open nose surgery 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 progress and popularized the open nose job technique. [] In 1987, Gunter reported the technical effectiveness of the open nose surgery method for performing a secondary nose surgery; his better techniques advanced the management of a failed nose surgical treatment. [] Anatomy of the human nose [modify] The structures of the nose [edit] Nasal anatomy: Squamous epithelium is one of a number of types 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 aesthetic 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 third area the skin overlying the bridge of the nose (mid-dorsal section) is the thinnest, least distensible, nasal skin, since it most complies with the support framework. Lower third area the skin of the lower nose is as thicker and less mobile, because it has more sebaceous glands, specifically at the nasal suggestion.