Alar

Excising an ellipse of skin, and subcutaneous tis- sue, in the nasofacial fold, can open the nasal valve by rotating the alar cartilage laterally.

The characteristics of Coffin-Lowry syndrome can certainly be within easy reach if someone could connect downward slanting palpebral fissures, a broad nose with thick alar cartilage and thick lips (don't forget the short stature, large hands, and tapering fingers) with the imagery of melting popsicles on a hot Sunday in the park or some other easily retrieved vision.

The medial wall of the vestibule is the columella, which is formed by the medial wing of the alar cartilage and is 4-6mm wide.

On extraoral examination, the patient was noted to have cleft lip left side; columella deviated toward noncleft side; depressed left lateral alar cartilage [Fig.

Several weeks earlier, she had affixed a magnetic blinking-light earring and a backing magnet to the alar cartilage on one side.