Supernumerary nostril in association with incomplete naso-ocular cleft

Supernumerary nostril is an extremely rare congenital anomaly with sporadic reports of its occurrence in the literature. Associated congenital anomalies have not been present in the cases described. The treatment is excision of the nostril, using the technique of a fistulectomy, and associated procedures to correct a bifid nasal tip or wide columella base. We describe our experience with this anomaly in an adult male, who had features of an incomplete naso-ocular cleft. We treated it by excising the accessory nostril, repositioning the displaced alar base, and providing skin and lining, which were both deficient, by local flaps.