A Curious Case of an Accented Extra Nose

Area of Science:

• Medical Case Reports
• Pediatric Surgery
• Congenital Abnormalities

Background:

• Supernumerary nostril is an extremely rare congenital condition, with limited documented cases globally.
• Congenital midline nevi are relatively common but can present unique management challenges.
• The anatomical variations in nasal development present diagnostic and surgical complexities.

Purpose of the Study:

• To report a unique case of a supernumerary nostril in a preterm infant.
• To highlight the coexistence of a supernumerary nostril and a midline congenital nevus.
• To discuss the surgical management and implications of such rare congenital anomalies.

Main Methods:

• Case presentation of a 38-week gestational age male infant.
• Clinical examination and photographic documentation of the supernumerary nostril and congenital nevus.
• Surgical excision of the midline congenital nevus.

Main Results:

• A male infant presented with a supernumerary nostril and a midline congenital nevus.
• The supernumerary nostril was uniquely positioned, appearing as a well-formed structure atop the normal nasal anatomy.
• The congenital nevus was successfully managed through local excision.

Conclusions:

• This case underscores the significant rarity of supernumerary nostrils, emphasizing the importance of detailed examination in neonates.
• The co-occurrence of a supernumerary nostril and midline nevus presents a unique clinical scenario.
• Early identification and appropriate management are crucial for rare congenital nasal malformations.