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THE article by Joseph and Glasgold1 reviews a not uncommon, but not always managed, anatomic problem in cosmetic rhinoplasty. As such it bears interest for both the younger rhinoplasty surgeon and the experienced surgeon seeking new concepts in the management of nasal deformity. The central thesis of their article is that the primary cause of the hanging columella is a congenital C-shaped curvature of the medial crura. The study of 10 patients is not large, but is well presented anatomically, intraoperatively, and photographically.
Adamson PA. Anatomic Considerations in the Management of the Hanging Columella. Arch Facial Plast Surg. 2000;2(3):178-179. doi: