Abstract
The material which forms the background of this discourse is not new. However, an attempt is made to mold it into something approaching a useful pattern by which a given nasal operation may best be made to attain its ends. To my mind the first desideratum in any treatment is ultimate and, if possible, permanent improvement. Immediate improvement should not be permitted to weigh against the end result. Improvement in what? In function, first and last. Unless one is interested in a purely cosmetic reconstruction this is practically the only goal. The surgical fashion, whether it be of the moment or a relic of a previous era, is of no importance. The wetness or dryness or straightness or cleanness or pinkness of the airways may interest the doctor but not the patient. The patient's measure of a successful treatment—and it should be the physician's—is a nose that works, a nose
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