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1. Nasal tip and hanging columella are always needed to be reconstructed in augmentation rhinoplasty.

2. The superior labial artery originates form the columellar artery, which courses up the columella to the region between the domes.

3. Additionally, lymphatic drainage does not occur in the columella region.

4. Objective Using simple method to reform depressed middle part of the face and nasal columella.

5. Objective To introduce the clinical application of long slender tubed flap constructed with "bridge" technique in the repair of nasal columella defect.

6. Others prefer an "open" procedure, especially in more complicated cases; they make a small incision across the columella(sentence dictionary), the vertical strip of tissue separating the nostrils.

7. By sheet valuation is aimed at stair of high-grade fact wood more, press stair namely all component quote, include general column, large post, columella , baluster, armrest, footplate, expand screw.

8. Results All patients followed up from 3 months to 2 years showed satisfactory results with elevated bridge and tip of the nose and elongated columella.

9. Results All the 48 patients healed uneventfully, ipsilateral alar base , concave columella skew, lower-nose deformity has been well corrected.

10. The sound-conducting apparatus in the middle-ear of domestic fowls includes the membrana tympani, columella, musculus tensor tympani and several ligaments.