Some clinical considerations on congenital anomalies of the nose

The diagnosis and treatment of nasal cysts and fistulas are reviewed on the basis of a material of 16 cases. Definite evidence of cyst size is often unobtainable. Surgery of nasal cysts and fistulas should be done as early as possible to assure unimpaired nasal growth. In secondary fistulas re-operations may be quite problematic. Bifid noses vary substantially in terms of severity. Severity, in fact, will dictate the surgical techniques to be employed, i.e. decortication or external incisions. Saddling, which is a consistent finding can be corrected by preserved cartilage. The results thus obtainable are satisfactory by follow-up evidence. Congenital flat nose is a rare anomaly. Eight cases were encountered in the past 10 years. The techniques of columellar lengthening and strutting of the nasal tip are reviewed.