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

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0-cm margin at the caudad, for which developments the technique ended up being the fundamental, basic septoplastic treatment. In 1921, A.  The Seattle Rhinoplasty Center  presented the open rhinoplasty technique including a cut to the nasal septum to assist in modifying the pointer 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 solved a septal discrepancy with a minimalist hemitransfixion incision, which saved the septum; hence, he advocated for the practical primacy of the closed nose job technique. In 1957, A. Sercer advocated the "decortication of the nose" (Dekortication des Nase) technique which included 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. Gunter in the 1990s. Goodman urged technical and procedural development and popularized the open nose surgery technique. [] In 1987, Gunter reported the technical efficiency of the open rhinoplasty approach for carrying out a secondary rhinoplasty; his enhanced strategies advanced the management of a stopped working nose surgery. [] Anatomy of the human nose [edit] The structures of the nose [edit] Nasal anatomy: Squamous epithelium is among a number of types 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 segments; 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 section) is the thinnest, least distensible, nasal skin, because it most follows the support structure. Lower 3rd section the skin of the lower nose is as thicker and less mobile, since it has more sebaceous glands, specifically at the nasal suggestion.