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Intermediate Technical IVT

columella

Pronunciation: kol-you-MEL-ah

The tissue column separating the nostrils, important in nasal surgery and aesthetics.

Full Definition

The columella is the narrow strip of tissue that separates the nostrils and extends from the nasal tip to the upper lip. In rhinoplasty, columellar positioning and shape significantly influence nasal aesthetics and function. Common concerns include columellar show, retraction, or asymmetry. Surgical modification may involve cartilage grafting, soft tissue repositioning, or scar revision. The columellar-labial angle is a key aesthetic measurement in nasal analysis.

Usage

Usage note: The adjective form is 'columellar,' as in 'columellar strut graft.'

In Context

  • "The patient exhibits excessive columellar show requiring surgical correction." — Rhinoplasty consultation
  • "A cartilage graft was placed to support the columella and improve tip projection." — Operative technique description

Also known as

nasal columella

Don't confuse with

columellar alae

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