Rhinoplasty In The 20th Century
The history of rhinoplasty dates back to around 800 BC, when reconstructive nose surgery was first developed by the ayurvedic physician Sushruta, in ancient India. Rhinoplasty, as it is performed today, has evolved down the ages, as various physicians and researchers refined the surgical techniques they were taught and developed new innovations, to improve the outcome of the surgery.
Below is an outline of the major developments in the 20th century, which refined the surgical techniques used in rhinoplasty:
• 1902: Dr.Freer, followed by Dr.Killian, developed the submucous resection septoplasty (SMR) procedure for correcting a deviated septum.
• 1921: A.Rethi pioneered the open rhinoplasty approach, which featured an incision to the columella, to facilitate the modification of the nasal tip.
• 1929: Peer and Metzenbaum performed the first nose surgery to manipulate the caudal septum, which originates and projects from the forehead.
• 1947: Maurice H. Cottle corrected a septal deviation, using small incisions that were not visible from outside. He later became a main supporter of the closed rhinoplasty approach.
• 1957: A. Sercer advocated the ‘decortication of the nose’ technique. This technique consisted of an open rhinoplasty type ‘columellar-incision’, which allowed greater access to the nasal cavity and the nasal septum.
• 1970s: Dr.Padovan reported his technical refinements, and began advocating the open rhinoplasty approach. He was later supported by renowned surgeons like Wilfred S. Goodman and Jack P. Gunter.
• 1987: Jack P. Gunter reported on how the open surgical approach could be used to perform a second rhinoplasty, in cases where the surgical goal of the first surgery was not met.
In addition to this, modern medical advancements in radiography, anaesthesia and computer imaging have also contributed towards making rhinoplasty safer and easier to perform. 3D computer imaging technology allows surgeons to view the nose from various angles, to determine a surgical goal beforehand, and plan the nose surgery accordingly.
If you wish to undergo rhinoplasty, you should consider consulting with a surgeon who is qualified to perform the surgery, such as an appropriately trained ENT surgeon. Surgeons usually conduct a thorough assessment, before advising patients regarding their suitability.
ENT London is one of UK’s leading ENT clinics for the treatment of voice disorders, and can be contacted on 0207 580 6970.
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