Surgical correction of bifid nose.
OBJECTIVE
Evaluation of the aesthetic outcome and functional aspect after surgical correction of bifid nose by combined Millard forked flap with external rhinoplasty


BACKGROUND
Bifid nose is a rare congenital anomaly that results during facial development but the explicit mechanism is not clearly understood. Clinical findings are quite variable with a wide range of severity. Surgical correction still represents great challenge to facial plastic surgeons; extensive deformities in many cases, rarity of condition and paucity of publications are contributing factors.


METHODS
Surgical correction of six patients with bifid nose by a combined Millard forked flap with external rhinoplasty


RESULTS
The aesthetic and functional outcomes were acceptable for all patients and parents. There were no considerable postoperative complications.


CONCLUSIONS
This approach is highly effective for various grades of bifid nose. Early management is preferable to avoid psychological morbidity. Secondary rhinoplasty is usually needed for cosmetic refinement.
Otolaryngology Department, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt.
Ali
A
Tawfik
Otolaryngology Department, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt. Electronic address: elsisihossam@yahoo.com.
Hossam Elsayed
HE
El-Sisi
Otolaryngology Department, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt.
Ahmed Musaad
AM
Abd El-Fattah
D002648:Child; D002675:Child, Preschool; D004954:Esthetics; D005260:Female; D006801:Humans; D008297:Male; D009666:Nose / Q000002:abnormalities* / Q000601:surgery; D009668:Nose Diseases / Q000601:surgery*; D011183:Postoperative Complications; D012225:Rhinoplasty / Q000009:adverse effects / Q000379:methods*; D013524:Surgical Flaps / Q000601:surgery; D016896:Treatment Outcome
Bifid nose; Surgery; Tessier No:0 cleft