Abstract

DURING 1964 there was a continuation of interest in plastic surgery by otolaryngologists reflecting the paternal role of our specialty in the birth of plastic surgery. The American Academy of Ophthalmology and Otolaryngology devoted the last afternoon of its 1964 meeting to a symposium<sup>1-8</sup>on corrective rhinoplasty surgery. Becker<sup>1</sup>pointed out that mastering the surgical technique of rhinoplasty does not necessarily produce a good result. He stated that the operator must have an artistic concept, understand the anatomical relations of the nasal structures, and know the degree of postoperative thickening and relaxation of tissues which can be expected under various conditions. This last point was exemplified by a question circularized by the International Correspondence Society.<sup>9</sup>Twelve well-known rhinoplasty surgeons were asked to calculate the amount of cartilaginous dorsum lowering necessary to prevent polly-beak formation (low cartilaginous hump). None of the surgeons had a definite formula other than

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