Bifid nose associated with midline cleft of the upper lip.

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's 1a report dealt with a bifid nose associated with a deformity of the frontonasal bony framework. Wilkinson 1b 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