Objective: To describe a rare case of a supernumerary nostril and its management, and to discuss the different theories pertaining to this type of deformity. Methods: Design: Case Report Setting: Tertiary Government Hospital Patient: One Results: A 15-year-old girl was born with one extra nasal opening. Nasal endoscopy after 15 years revealed a mucosa-lined cavity that ended blindly. Computed tomography scan showed a small opening lateral to the right nasal ala which did not communicate with

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... right nasal cavity. A crescent incision was made along the inner circumference of the supernumerary nostril and the blind ending nasal tract was excised. A portion of the ala was removed and a Z-plasty repair was performed. Conclusion: Treatment has to be tailored as to the presentation of a supernumerary nostril and any other associated deformity. Though various surgical interventions exist, the goal of repair is to create a functioning and normal-appearing nose. Keywords: Supernumerary Nostril, Accessory Nostril