{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T11:36:10Z","timestamp":1786448170091,"version":"build-2736575974"},"reference-count":21,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2026,7]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Supernumerary nostril with an accessory nasal fistula is an exceptionally rare congenital anomaly with no standardised reconstructive protocol, especially with nasolacrimal involvement.<\/jats:p>\n <\/jats:sec>\n \n Case report<\/jats:title>\n A nine-year-old boy presented with a complete supernumerary nostril and synchronous accessory nasal fistula at the right alar base, persistent epiphora and prior endoscopic dacryocystorhinostomy. Imaging demonstrated a cystic tract communicating with the nasolacrimal system. Definitive management utilised a modified alar wedge excision type 2, incorporating both orifices into a single reconstructive unit. Three-month follow up demonstrated excellent aesthetic and functional outcomes with minimal scarring.<\/jats:p>\n <\/jats:sec>\n \n Literature review<\/jats:title>\n A review of 12 previously published cases (2001\u20132025) revealed heterogeneous, largely non-standardised techniques, often relying on simple excision that may not correct alar asymmetry.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Complete tract eradication and restoration of alar symmetry were achieved. Alar wedge excision type 2 offers a reproducible technique for complex supernumerary nostril\u2013accessory nasal fistula anomalies, particularly in Asian patients where tension-free closure minimises hypertrophic scarring.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/s0022215126104824","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T06:54:21Z","timestamp":1780296861000},"page":"803-807","source":"Crossref","is-referenced-by-count":0,"title":["Complete Supernumerary Nostril with Accessory Alar Fistula Reconstructed via Alar Wedge Excision Type 2: A Case Report and Literature Review"],"prefix":"10.1017","volume":"140","author":[{"given":"Rizki Ekaputra","family":"Handoko","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01wk3d929","id-type":"ROR","asserted-by":"publisher"}],"name":"Universitas Brawijaya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8787-246X","authenticated-orcid":false,"given":"Iriana","family":"Maharani","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01wk3d929","id-type":"ROR","asserted-by":"publisher"}],"name":"Universitas Brawijaya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melody Audria","family":"Kurniadi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01wk3d929","id-type":"ROR","asserted-by":"publisher"}],"name":"Universitas Brawijaya"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,6,1]]},"reference":[{"key":"S0022215126104824_ref19","first-page":"415","article-title":"Management of the hypertrophic scar in the Asian patient","volume":"10","author":"Kim","year":"2002","journal-title":"Facial Plast Surg Clin North Am"},{"key":"S0022215126104824_ref7","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620962674"},{"key":"S0022215126104824_ref12","first-page":"109254","article-title":"Supernumerary nostril: a rare case report and literature review","volume":"115","author":"Widarda","year":"2024","journal-title":"Int J Surg Case Rep"},{"key":"S0022215126104824_ref15","first-page":"1134","article-title":"Supernumerary nostril: a case report","volume":"16","author":"Tuncbilek","year":"2005","journal-title":"J Craniofac Surg"},{"key":"S0022215126104824_ref3","doi-asserted-by":"crossref","first-page":"169","DOI":"10.4103\/2231-0746.92788","article-title":"Supernumerary nostril: a rare congenital anomaly","volume":"1","author":"Uppal","year":"2011","journal-title":"Ann Maxillofac Surg"},{"key":"S0022215126104824_ref1","unstructured":"1 Mossey, PA , Castilla, EE. 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