Revisiting the Alar-Columellar Relationship: Classification and Correction.
review · Level V
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- Record sourced from PubMed, PMID 31348341.
- Also identified by DOI 10.1097/PRS.0000000000005835.
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Abstract
The alar-columellar relationship has tremendous aesthetic significance in the lower one-third of the nose. Aberrancies in the alar-columellar relationship detract from nasal aesthetics, and are classified into six types: type I, hanging columella; type II, retracted ala; type III, combination of a hanging columella and retracted ala; type IV, hanging ala; type V, retracted columella, and type VI, combination of a hanging ala and retracted columella. This article describes the methods for proper evaluation and diagnosis of aberrancies in the alar-columellar relationship, and current strategies to restore the ideal alar-columellar relationship. CLINICAL QUESTION/LEVEL OF EVIDENCE:: Therapeutic, V.
Medical subject headings
- Nose
- Rhinoplasty