429
To put the record straight.
. .
Oral Mucosal Flaps in Midfacial Reconstruction, C. R. W. Rayner. British Surgery, 1984, 37, 43.
Journal
of Plastic
I wish to point out that in the lacrimal drainage procedure described here, it is riot intended to claim that permanent effective correction of epiphora is obtained. It must especially be emphasised that the symptomatic relief reported is not intended to convey the impression that effective orbital drainage had been achieved. Prior to the preparation of this text, it was known to the author that Lendrum considered the results unsatisfactory when used as a drainage procedure. I apologise for any contrary impression that may have been given in the text. C. R. W. Rayner, MS, FRCS, Woodend General Hospital, Aberdeen
The following letter to the Editor, dated 25 November 1983, has been received from Dr Frank F. Rubin, MD, of Quincy, Massachussetts, USA, drawing
attention
to an article
Journal in October 1983.
Dublished _
in this
Dear Sir, A number of colleagues have called my attention to an article published in the British Journal of Plastic Surgery (1983) 36, 483-484, namely, “The alar cartilage morseler: a new instrument” written by F. Welsh, Bethesda Hospitals, Cincinnati, Ohio, USA. Apparently you as well as Dr Welsh have overlooked searching the literature on the morselizer. I invented the morselizers-septal, lower lateral and the auricular morselizer. The latter instrument was developed with Dr Eugene Courtiss. My first article on morselization was “Permanent change in shape of cartilage by morselization” and was published in the Archives of Otolaryngology, April 1969, Volume 89. This article was read before the American Academy of Facial Plastic and Reconstructive Surgery at their meeting in April 1968. The alar morselizer was patented in 1968, patent
number being 3395709, showing just about every deformitv of the tip manageable with this instrument. In 1977, Monograph -# 1 on “Morselization for Esthetic Reconstruction and Facial Plastic Surgery” was published for an international Microform Journal, demonstrating the effectiveness of morselization in correcting iatrogenic as well as various congenital deformed tips. In conjunction with this, I have presented a number of articles on tip sculpturing with the morselizer and in 1979 a course was given by me on “Personal Techniques in Rhinoplasty”, dealing with a number of instruments in rhinoplasty invented by me which included morselizers. In May 1982, a paper was presented at the American Academy of Facial Plastic and Reconstructive Surgery Symposium on “Controlled Tip Sculpturing with the Morselizer” and this was published in the Archives of Otolaryngology in March 1983. 1 would hope that in your next edition you would see fit to correct this error, as this instrument has been in use by the inventor as well as by thousands of plastic surgeons throughout the world since 1964.
Sincerely yours, Frank F. Rubin, MD, 795, Southern Artery, USA.
Quincy,
Massachusetts
02169,
This letter from Dr Rubin is published in full to put the record straight. At the time when the original text of the paper was received from Dr Frank Welsh (in December 1982), I was completely unaware of Dr Rubin’s earlier work on morselisers, and so, too, was Dr Welsh himself. From the reprint and additional information that Dr Rubin has sent me it is perfectly clear that he deserves credit for the introduction of morselisation and the design of certain surgical instruments to carry this out. I sincerely apologise for my lack of familiarity of his earlier work but I trust that readers of this journal will understand that an Editor cannot reasonably be expected to search the literature whenever a new instrument is described, particularly if these papers appear in another country and in publications with which the Editor is unlikely to be familiar.