Surgical correction of bifid nose

ObjectivesEvaluation of the aesthetic outcome and functional aspect after surgical correction of bifid nose by combined Millard forked flap with external rhinoplastyBackgroundBifid nose is a rare congenital anomaly that results during facial development but the explicit mechanism is not clearly understood. Clinical findings are quite variable with a wide range of severity. Surgical correction still represents great challenge to facial plastic surgeons; extensive deformities in many cases, rarity of condition and paucity of publications are contributing factors.MethodsSurgical correction of six patients with bifid nose by a combined Millard forked flap with external rhinoplastyResultsThe aesthetic and functional outcomes were acceptable for all patients and parents. There were no considerable postoperative complications.ConclusionsThis approach is highly effective for various grades of bifid nose. Early management is preferable to avoid psychological morbidity. Secondary rhinoplasty is usually needed for cosmetic refinement.