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ARTICLE |

THE SUBMUCOUS RESECTION OF THE NASAL SEPTUM:  A RASPATORY FOR THE AVOIDANCE OF PERFORATIONS

OTTO T. FREER, M.D.
JAMA. 1909;LIII(23):1914-1915. doi:10.1001/jama.1909.92550230039003b.
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Perforations in the course of submucous resections of deflections of the nasal septum are, in my experience, oftenest made during the denudation or excision of the bony part of the deflection after the removal of its cartilaginous portion. Nearly all of these perforations occur in baring the so-called ridge of its periosteal coverings, the term "ridge" being used to describe the bony wall which, arising from the nasal floor, forms the base of the septal skeleton and is composed of the incisor crest, anterior end of the vomer and superior maxillary crest. The ridge may be so low that it is barely indicated, or it may form a bony partition whose height may even reach five-eighths of an inch. When the septum is deflected into one or the other nostril, the ridge bends over into the naris of the convexity of the deviation in a varying degree, so that in

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