A THOROUGH examination of the medical literature reveals only 13 cases reported dealing with the deformity variously known as bifid nose (2 cases),1 median fissure (4 cases),2 cleft nose (1 case),3 median furrow (1 case),4 double nose (3 cases)5 and nose with four nostrils (1 case).6 There was only 1 case of bifid nose associated with midline cleft of the upper lip.7 Only three of the reports were made in the North American literature.8
Kopp's1a report dealt with a bifid nose associated with a deformity of the frontonasal bony framework.
Wilkinson1b reported a case of bifid nose and stated:
From the mesial (nasal) processes are developed the nasal septum, the columella, the mid-portion of the (upper) lip and the pre-maxilla. These processes may fail to unite in the second month. True median hare lip is the best known deformity which may result. Other deformities referable to the same cause are
WEAVER DF, BELLINGER DH. BIFID NOSE ASSOCIATED WITH MIDLINE CLEFT OF THE UPPER LIP. Arch Otolaryngol. 1946;44(4):480–482. doi:10.1001/archotol.1946.00680060501012
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