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November 1960

Long Nose with Double Lip Syndrome

Arch Otolaryngol. 1960;72(5):614-625. doi:10.1001/archotol.1960.00740010626007

Introduction  A not uncommon deformity associated with a long nose is a "double lip." The two conditions must be attended to simultaneously if the result is to be acceptable. Correction of either deformity alone in such cases serves only to exaggerate both disfigurements.There is considerable confusion in the literature as to what actually constitutes a "double lip." Some use the term as descriptive of a local pathologic process; for instance, Anson and Maddock1 classify congenital fistula as a "double lip." Others4,9,13 describe it as a manifestation of specific and nonspecific inflammations, neoplasms, constitutional diseases, transitory conditions such as angioneurotic edema, unknown causes (Asher's Milkerrson and Rosenthal syndrome), etc.The technique for shortening of the nose has been well described in the literature and therefore will not be repeated. On the other hand, very little has been done regarding the study of the double lip. This article will