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In the early 20th century, Freer, in 1902, and Killian, in 1904, pioneered the submucous resection septoplasty (SMR) procedure 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 support with a 1.

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0-cm margin at the caudad, for which innovations the strategy ended up being the fundamental, basic septoplastic treatment. In 1921, A. Rethi presented the open nose job approach featuring an incision to the nasal septum to facilitate customizing the pointer of the nose. In 1929, Peer and Metzenbaum carried out the first adjustment of the caudal septum, where it comes from and forecasts from the forehead.

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Cottle (18981981) endonasally solved a septal deviation with a minimalist hemitransfixion cut, which conserved the septum; hence, he advocated for the useful primacy of the closed nose job approach. In 1957, A. Sercer promoted the "decortication of the nose" (Dekortication des Nase) method which included a columellar-incision open rhinoplasty that enabled higher access to the nasal cavity and to the nasal septum.

Goodman in the later 1970s, and by Jack P.  Read This  in the 1990s. Goodman urged technical and procedural development and popularized the open rhinoplasty method. [] In 1987, Gunter reported the technical efficiency of the open rhinoplasty method for performing a secondary rhinoplasty; his better techniques advanced the management of a failed nose surgery. [] Anatomy of the human nose [modify] 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 consists of: 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 third area the skin overlying the bridge of the nose (mid-dorsal section) is the thinnest, least distensible, nasal skin, due to the fact that it most sticks to the support 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 tip.