Supernumerary Nostril Research Articles

Supernumerary nostril together with esophageal atresia, imperforate anus and patent ductus arteriosus: a case report and review of the literature

Supernumerary nostril is an extremely rare congenital entity which results from aberrant embryological development. The review of the literature reveals that only 30 cases of supernumerary nostril have been reported. We report a rare case of supernumerary nostril in association with esophageal atresia, imperforate anus, and patent ductus arteriosus. To our knowledge, this is the first case of supernumerary nostril which has been accompanied by three other congenital anomalies. In addition to the presented case, we review all the literature cases of supernumerary nostril.

Supernumerary Nostril: A Case Report and Review

SUMMARY : Supernumerary nostril is a very rare congenital anomaly, whic h includes additional nostril with or without accessorycartilage. In the present case of the left supernumerary nostril, a small cavity of around 3 mm diameter and accessory lower lateralcartilage were present. The cavity was lined with mucous membrane and filled with mucoid discharge .Nasal endoscopy of accessorynasal cavity revealed that it was small as compared to normal nasal cavity and did not communicate with the ipsilateral nasal cavity. Thediameter of the normal anterior nasal opening was less on left side as compared to right side. Unilateral supernumerary nostril may occurbecause of the fissuring of the lateral nasal process during fetal growth. KEY WORDS: Supernumerary nostril; Congenital anomaly; Fissuring of nasal process. INTRODUCTION Supernumerary nostril is a very rare type of congenitalanomaly which includes additional nostril with or withoutaccessory cartilage. It can be unilateral or bilateral. Lindsey(1906) reported the first case of bilateral supernumerarynostril, in that case external openings of supernumerarynostrils were situated above the normal nostril and theaccessory nasal cavities communicated with the ipsilateralnasal cavities. Tawse (1920) reported a patient with a unila-teral supernumerary nostril that communicated with the na-sal cavity. Reddy & Rao (1987) reported a case of a thirdnostril that was situated below the left nostril. Sinha

Supernumerary Nostril with Complete Unilateral Cleft Lip: A Case Report and Review

The supernumerary nostril is an extremely rare congenital anomaly of duplication. A review of the literature shows that only 17 cases have been reported in the world. The supernumerary nostril in association with facial clefting is even more rare, with only three cases reported so far. We are reporting a case of supernumerary nostril in association with complete unilateral cleft lip without cleft palate, which happens to be the first case of its kind to be reported. Most supernumerary nostrils are situated superior to the normal nostrils and very few of them are situated at the same level or below the normal nostrils. In this case, the supernumerary nostril was placed lateral to the normal nostril.

Supernumerary nostrils together with oesophageal atresia and patent ductus arteriosus

Supernumerary nostril is an extremely rare congenital anomaly. It can be unilateral or bilateral and it sometimes occurs in association with other congenital abnormalities. We describe a newborn infant with bilateral supernumerary nostrils together with oesophageal atresia and patent ductus arteriosus, an association that has not been reported previously in the literature.

Supernumerary nostril: Case report and review of the literature

Supernumerary nostrils are extremely rare. A review of the literature revealed 21 published cases since 1906. We present a case of supernumerary nostril located above and to the side of the left nostril in a male patient. We discuss differences between published reports, surgical techniques proposed, and the outcome of our treatment approach.

Supernumerary Nostril with Congenital Cataract

Supernumerary nostril is a very rare congenital anomaly. It can be unilateral or bilateral, and it sometimes occurs in the presence of other congenital deformities. Behind the external opening of a supernumerary nostril is a small accessory nasal cavity, which may or may not communicate with the normal nasal cavity on the same side. We describe a new case in which the supernumerary nostril with a small accessory nasal cavity, which did not communicate with the normal nasal cavity on the same side, appeared in a young girl who also had microcornea and congenital cataract. The accessory nasal cavity was successfully removed surgically. We believe that this case may represent the first reported case of a supernumerary nostril with a congenital cataract on the same side. We also discuss the hypotheses that have been proposed to explain supernumerary nostrils.

Tercera ventana nasal

Supernumerary nostril is an extremely rare congenital anomaly as a result of aberrant embryological development. Frequently it leads to a narrow cavity; in the end, opening into the nearest nasal cavity or just stops blindly after a short course. It can appear isolated or in association with other anomalies. Treatment is always surgical. We present a case of a triple nostril, associated to a congenital auricular hypoplasia and we also review the existing literature

Repair of Congenital Nasal Anomalies Involving Redundancy of Structures

Abstract Objective: Rare congenital nasal anomalies include symmetric complete nasal duplication and asymmetric supernumerary nostrils. Complete nasal duplication may be either vertically stacked or horizontally oriented. It is a result of duplication of the nasal placode pair. Supernumerary structures include nostrils (with or without accessory cartilage) or fistulas that result from a fissure of the lateral nasal process. A case report is described whereby an adult accessory nostril, complete with an extra lower lateral cartilage, is repaired through direct excision and tip suturing. The importance of removing superfluous structures and reconstructing the normal anatomy by using an open rhinoplasty technique is stressed to achieve an aesthetic outcome.

Supernumerary nostril with a contralateral naso-ocular cleft

We present the rare case of a child with a supernumerary nostril and a contralateral naso-ocular cleft. The child also had a suggestion of a microform cleft lip. There are only six or seven cases of supernumerary nostrils reported in the literature. This case is also unique in that the additional nostril and the naso-ocular cleft were on opposite sides. We describe a simple method of dealing with the problem and review the existing literature on the topic.

Supernumerary nostril: a rare congenital deformity

Duplication anomalies of the nose include polyhinia (double nose) and supernumerary nostril (assessory nostril). These are rare congenital nasal deformities resulting from aberrant embryological development. Differential diagnoses include glioma, encephalocele, nasal dermoid, nasolacrimal duct duplication, mid facial cleft and proboscis lateralis (K. Nakamura, T. Onizuka. Plast. Reconstr. Surg. 80 (3) (1987) 436–441). Our review of the English language literature revealed eight reported cases of duplication anomalies of the nose. Four of these were cases of polyrhinia (double nose). Of the cases remaining, one patient had a supernumerary nostril in association with a cleft lip, leaving only three reported cases of an isolated supernumerary nostril. We present a newborn infant with an isolated right supernumerary nostril. MRI, CT and photographic documentation are provided. Pertinent embryology, anatomy and a thorough review of the literature are included.

Correction of supernumerary nostrils

Two rare cases of hypoplastic heminose associated with a supernumerary nostril are presented. In both cases a patent nasal cavity was present on the hypoplastic side. The hypoplastic heminose was reconstructed with the skin and the lining of the second nostril.

A case of bilateral supernumerary nostrils

A child with bilateral supernumerary nostrils is reported with the review of the literature regarding the relation between nasal embryology and the development of supernumerary nostrils.