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The study, Ethnic Rhinoplasty: a Universal Preoperative Classification System for the Nasal Tip (2009), reports that a nasal-tip classification system, based upon skin thickness, has been proposed to aid the surgeon in determining if an open rhinoplasty or a closed rhinoplasty can best correct the defect or deformity affecting the patient's nose.
Nasal surgery is a specialty including the removal of nasal obstruction that cannot be achieved by medication and nasal reconstruction. Currently, it comprises four approaches, namely rhinoplasty, septoplasty, sinus surgery, and turbinoplasty, targeted at different sections of the nasal cavity in the order of their external to internal positions.
A forehead flap is usually required if the nasal defect is larger than 1.5 cm, requires replacement of support or lining, or if it is located within the infratip or columella. [4] If the defect is small and superficial it can be resurfaced with a skin graft or it can heal by secondary intention. [4]
Non-surgical rhinoplasty is reported to have originated at the turn of the nineteenth century, when New York City neurologist James Leonard Corning (1855–1923) and Viennese physician Robert Gersuny (1844–1924) began using liquid paraffin wax to elevate the "collapsed nasal dorsum" that characterizes the "saddle nose deformity."
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[18] [19] Reports on Indian rhinoplasty performed by a Kumhar (potter) vaidya were published in the Gentleman's Magazine by 1794. [18] Joseph Constantine Carpue spent 20 years in India studying local plastic surgery methods. [18] Carpue was able to perform the first major surgery in the Western world in the year 1815. [20]
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