Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

THE NASAL SEPTUM: PLASTIC REPAIR OF THE DEVIATED SEPTUM ASSOCIATED WITH A DEFLECTED TIP

THE NASAL SEPTUM: PLASTIC REPAIR OF THE DEVIATED SEPTUM ASSOCIATED WITH A DEFLECTED TIP Abstract The importance of the nasal septum in man is self evident to the rhinologist. It divides the nasal cavity into two lateral passageways and thus forms the mesial wall of each nasal fossa. It also determines the line of the nasal dorsum. In primitive races and in Caucasian children the nasal septum is usually straight and symmetric, but among Caucasian adults it frequently deviates. This deviation usually concerns the cartilage and the ethmoid portion, leaving the vomer normal or nearly so. Schaeffer1 considered the perpendicular plate of the ethmoid bone (mesethmoid), which forms the cephalic third of the septum, of particular interest in septal deviation. The extent of the mesethmoid is variable, and the septal cartilage is correspondingly large or small. During fetal life, infancy and early childhood, the nasal septum is usually symmetric and occupies the midline throughout its extent. Asymmetry has, however, been seen in early childhood, and References 1. Schaeffer, J. P.: The Nose, Paranasal Sinuses, Nasolacrimal Passageways, and Olfactory Organ in Man , Philadelphia, P. Blakiston's Son & Co., 1920. 2. Sheehan, J. E.: Plastic Surgery of the Nose , ed. 2, New York, Paul B. Hoeber, Inc., 1936, p. 37. 3. Morris, H.: Morris' Human Anatomy , edited by J. P. Schaeffer, ed. 10, Philadelphia, Lea & Febiger, 1942. 4. Gray, H.: Anatomy of the Human Body , edited by W. H. Lewis, ed. 24, Philadelphia, The Blakiston Company, 1942. 5. Peter, K.: Die Entwickelung der Geruchsorganes , in Hertwig, O.: Handbuch der vergleichenden und experimentellen Entwicklungslehre der Werbeltiere , Jena, Gustav Fischer, 1902, vol. 2, p. 2. 6. Killian, G.: Zur Anatomie der Nase menschlichen Embryonen , Arch. f. Laryng. u. Rhin. 4:1, 1896. 7. Rosenberger, H. C.: Growth and Development of Nasorespiratory Area in Childhood , Ann. Otol., Rhin. & Laryng. 43:495 ( (June) ) 1934. 8. Arey, L. B.: Developmental Anatomy , Philadelphia, W. B. Saunders Company, 1925. 9. Morris.3a 10. Gray.3b 11. Terry, R. J.: An Observation on the Development of the Mammalian Vomer , Anat. Rec. 3:525, 1909. 12. Jacobson, L.: Description anatomique d'un organ observé dans les mammiferes , Ann. d. Mus. d. hist. nat. 18:1412, 1811. 13. Schaeffer,1 p. 270. 14. von Mikhailovics, V.: Anatomie der Nase , in Heymann, P.: Handbuch der Laryngologie und Rhinologie , Vienna, A. Hölder, 1900, vol. 3, no. (1) . 15. Gratiolet, L. P.: Recherches sur l'organe de Jacobson, Thesis, Paris, 1845. 16. Ganin, M.: Thatsachen zur Frage über das Jacobsonschen Organ , Zoöl. Anz. 13:285, 1890. 17. Anton, W.: Beiträge zur Kenntnis des Jacksonschens Organes der Erwachsenen , Ztschr. f. Heilk. 16:355, 1895. 18. Frets, G. P.: The Vomeronasal Organ , Morphol. Jahrb. 45:566, 1912. 19. Walter, H. E.: Biology of Vertebrates , New York, The Macmillan Company, 1928. 20. Pearlman, S. J.: Jacobson's Organ: Its Anatomy, Gross, Microscopical and Comparative, with Some Observations on Its Function , Ann. Otol., Rhin. & Laryng. 43:739 ( (Sept.) ) 1934. 21. Jordan, H. E.: A Textbook of Histology , New York, D. Appleton and Company, 1924. 22. Hildebrand: Ueber das Verhalten des Epithels im Respiration Teil der Nasenschleimhaut , Jahrb. d. Hamb. Staatskronkenanst. 6:25, 1897-1898. 23. Morris.3a 24. Gray.3b 25. Aymard, J. L.: Some New Points on the Anatomy of the Nasal Septum , J. Anat. 51:293, 1917. 26. Lillie, H. D.: Some Practical Considerations of the Upper Respiratory Tract , J. Iowa State M. Soc. 13:403, 1923. 27. Ballenger, W. L., and Ballenger, H. C.: Diseases of the Nose, Throat and Ear , ed. 8, Philadelphia, Lea & Febiger, 1943. 28. Brandt, W., and Roper-Hall, H. T.: Cysts of Jacobson's Organ , Brit. M. J. 1:527 ( (March 3) ) 1940. 29. Cade, S.: Malignant Disease and Its Treatment by Radium , Baltimore, Williams & Wilkins Company, 1940, p. 476. 30. Charles, C. M.: The Cavum Nasi of the American Negro , Am. J. Phys. Anthropol. 14:177, 1930. 31. Kopp, M. M.: Nasal Deformities Due to Septal Abnormalities , M. Rec. 151:111, 1940. 32. Metzenbaum, M.: Dislocation of the Lower End of the Nasal Septal Cartilage , Arch. Otolaryng. 24:78-88 ( (July) ) 1936. 33. Cinelli, A. A.: Alterations in Nasal Function Due to Anatomic Variation of the Nares , Arch. Otolaryng. 31:53-64 ( (Jan.) ) 1940. 34. Cohen, S.: Role of the Septum in Surgery of the Nasal Contour , Arch. Otolaryng. 30:12-20 ( (July) ) 1939. 35. Schaeffer, J. P., in The Human Face: A Symposium , Philadelphia, Dental Cosmos, 1935. 36. Kyle, D. B.: Textbook of Diseases of the Nose and Throat , ed. 5, Philadelphia, W. B. Saunders Company, 1914, p. 296. 37. Coates, G. M.: Lectures on Surgical Technique in Mastoid Operations, 1930. 38. Fomon, S.: The Surgery of Injury and Plastic Repair , Baltimore, Williams & Wilkins Company, 1939. 39. Sheehan.2 40. This treated gauze was furnished by the Johnson & Johnson research foundation. The carbowax compounds are polyethylene glycols of high molecular weight. 41. Aufricht, G.: Dental Molding Compound Cast and Adhesive Strapping in Rhinoplastic Surgical Procedure , Arch. Otolaryng. 32:333-338 ( (Aug.) ) 1940. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

THE NASAL SEPTUM: PLASTIC REPAIR OF THE DEVIATED SEPTUM ASSOCIATED WITH A DEFLECTED TIP

Archives of Otolaryngology , Volume 40 (6) – Dec 1, 1944

Loading next page...
 
/lp/american-medical-association/the-nasal-septum-plastic-repair-of-the-deviated-septum-associated-with-cDSy58wb0b
Publisher
American Medical Association
Copyright
Copyright © 1944 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1944.00680020563001
Publisher site
See Article on Publisher Site

Abstract

Abstract The importance of the nasal septum in man is self evident to the rhinologist. It divides the nasal cavity into two lateral passageways and thus forms the mesial wall of each nasal fossa. It also determines the line of the nasal dorsum. In primitive races and in Caucasian children the nasal septum is usually straight and symmetric, but among Caucasian adults it frequently deviates. This deviation usually concerns the cartilage and the ethmoid portion, leaving the vomer normal or nearly so. Schaeffer1 considered the perpendicular plate of the ethmoid bone (mesethmoid), which forms the cephalic third of the septum, of particular interest in septal deviation. The extent of the mesethmoid is variable, and the septal cartilage is correspondingly large or small. During fetal life, infancy and early childhood, the nasal septum is usually symmetric and occupies the midline throughout its extent. Asymmetry has, however, been seen in early childhood, and References 1. Schaeffer, J. P.: The Nose, Paranasal Sinuses, Nasolacrimal Passageways, and Olfactory Organ in Man , Philadelphia, P. Blakiston's Son & Co., 1920. 2. Sheehan, J. E.: Plastic Surgery of the Nose , ed. 2, New York, Paul B. Hoeber, Inc., 1936, p. 37. 3. Morris, H.: Morris' Human Anatomy , edited by J. P. Schaeffer, ed. 10, Philadelphia, Lea & Febiger, 1942. 4. Gray, H.: Anatomy of the Human Body , edited by W. H. Lewis, ed. 24, Philadelphia, The Blakiston Company, 1942. 5. Peter, K.: Die Entwickelung der Geruchsorganes , in Hertwig, O.: Handbuch der vergleichenden und experimentellen Entwicklungslehre der Werbeltiere , Jena, Gustav Fischer, 1902, vol. 2, p. 2. 6. Killian, G.: Zur Anatomie der Nase menschlichen Embryonen , Arch. f. Laryng. u. Rhin. 4:1, 1896. 7. Rosenberger, H. C.: Growth and Development of Nasorespiratory Area in Childhood , Ann. Otol., Rhin. & Laryng. 43:495 ( (June) ) 1934. 8. Arey, L. B.: Developmental Anatomy , Philadelphia, W. B. Saunders Company, 1925. 9. Morris.3a 10. Gray.3b 11. Terry, R. J.: An Observation on the Development of the Mammalian Vomer , Anat. Rec. 3:525, 1909. 12. Jacobson, L.: Description anatomique d'un organ observé dans les mammiferes , Ann. d. Mus. d. hist. nat. 18:1412, 1811. 13. Schaeffer,1 p. 270. 14. von Mikhailovics, V.: Anatomie der Nase , in Heymann, P.: Handbuch der Laryngologie und Rhinologie , Vienna, A. Hölder, 1900, vol. 3, no. (1) . 15. Gratiolet, L. P.: Recherches sur l'organe de Jacobson, Thesis, Paris, 1845. 16. Ganin, M.: Thatsachen zur Frage über das Jacobsonschen Organ , Zoöl. Anz. 13:285, 1890. 17. Anton, W.: Beiträge zur Kenntnis des Jacksonschens Organes der Erwachsenen , Ztschr. f. Heilk. 16:355, 1895. 18. Frets, G. P.: The Vomeronasal Organ , Morphol. Jahrb. 45:566, 1912. 19. Walter, H. E.: Biology of Vertebrates , New York, The Macmillan Company, 1928. 20. Pearlman, S. J.: Jacobson's Organ: Its Anatomy, Gross, Microscopical and Comparative, with Some Observations on Its Function , Ann. Otol., Rhin. & Laryng. 43:739 ( (Sept.) ) 1934. 21. Jordan, H. E.: A Textbook of Histology , New York, D. Appleton and Company, 1924. 22. Hildebrand: Ueber das Verhalten des Epithels im Respiration Teil der Nasenschleimhaut , Jahrb. d. Hamb. Staatskronkenanst. 6:25, 1897-1898. 23. Morris.3a 24. Gray.3b 25. Aymard, J. L.: Some New Points on the Anatomy of the Nasal Septum , J. Anat. 51:293, 1917. 26. Lillie, H. D.: Some Practical Considerations of the Upper Respiratory Tract , J. Iowa State M. Soc. 13:403, 1923. 27. Ballenger, W. L., and Ballenger, H. C.: Diseases of the Nose, Throat and Ear , ed. 8, Philadelphia, Lea & Febiger, 1943. 28. Brandt, W., and Roper-Hall, H. T.: Cysts of Jacobson's Organ , Brit. M. J. 1:527 ( (March 3) ) 1940. 29. Cade, S.: Malignant Disease and Its Treatment by Radium , Baltimore, Williams & Wilkins Company, 1940, p. 476. 30. Charles, C. M.: The Cavum Nasi of the American Negro , Am. J. Phys. Anthropol. 14:177, 1930. 31. Kopp, M. M.: Nasal Deformities Due to Septal Abnormalities , M. Rec. 151:111, 1940. 32. Metzenbaum, M.: Dislocation of the Lower End of the Nasal Septal Cartilage , Arch. Otolaryng. 24:78-88 ( (July) ) 1936. 33. Cinelli, A. A.: Alterations in Nasal Function Due to Anatomic Variation of the Nares , Arch. Otolaryng. 31:53-64 ( (Jan.) ) 1940. 34. Cohen, S.: Role of the Septum in Surgery of the Nasal Contour , Arch. Otolaryng. 30:12-20 ( (July) ) 1939. 35. Schaeffer, J. P., in The Human Face: A Symposium , Philadelphia, Dental Cosmos, 1935. 36. Kyle, D. B.: Textbook of Diseases of the Nose and Throat , ed. 5, Philadelphia, W. B. Saunders Company, 1914, p. 296. 37. Coates, G. M.: Lectures on Surgical Technique in Mastoid Operations, 1930. 38. Fomon, S.: The Surgery of Injury and Plastic Repair , Baltimore, Williams & Wilkins Company, 1939. 39. Sheehan.2 40. This treated gauze was furnished by the Johnson & Johnson research foundation. The carbowax compounds are polyethylene glycols of high molecular weight. 41. Aufricht, G.: Dental Molding Compound Cast and Adhesive Strapping in Rhinoplastic Surgical Procedure , Arch. Otolaryng. 32:333-338 ( (Aug.) ) 1940.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Dec 1, 1944

References