From the Dallas Plastic Surgery Institute; and the Institute of Aesthetic Medicine.
Plast Reconstr Surg. 2019 Aug;144(2):340-346. doi: 10.1097/PRS.0000000000005835.
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.
鼻翼-鼻中隔关系在鼻的下三分之一具有巨大的美学意义。鼻翼-鼻中隔关系的异常会影响鼻部的美学，可分为六型：Ⅰ型，悬垂鼻中隔；Ⅱ型，退缩的鼻翼；Ⅲ型，悬垂鼻中隔伴退缩的鼻翼；Ⅳ型，悬垂的鼻翼；Ⅴ型，退缩的鼻中隔；Ⅵ型，悬垂的鼻翼伴退缩的鼻中隔。本文描述了正确评估和诊断鼻翼-鼻中隔关系异常的方法，以及恢复理想的鼻翼-鼻中隔关系的当前策略。临床问题/证据水平：治疗，V 级。
