The columella is the only part of the nasal septum that is visible on the face. Its significance is not limited to the reconstruction of cosmetic surgery, since it is of particular importance in maintaining the cartilaginous septum in a median position, although it should always be given esthetic consideration.
In distortions and deformities of the nasal septum, whether congenital or resulting from injury caused by accident or disease, when a submucous resection is required to correct the septal fault the columella is always involved in the operation.
Two precautions are to be observed in relation to operations which include the columella. The first is to make sure that it will finally appear in the midline of the base of the nose, to insure symmetry between the two halves. The second is to avoid robbing it entirely of its normal mobility and thus to prevent giving it a fixity that
SELTZER AP. PLACE OF COLUMELLA IN SUBMUCOUS RESECTION. AMA Arch Otolaryngol. 1952;56(1):57–58. doi:10.1001/archotol.1952.00710020074006
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