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. 2017 Jan-Jun;7(1):89-91.
doi: 10.4103/ams.ams_130_16.

Conservative Surgical Approach to Restore Necrotic Columella in Patients Undergoing Neonatal Usage of Nasogastric Tube

Francesco Inchingolo  1 , Fabio Massimo Abenavoli  2 , Francesca De Angelis  3 , Alessandro Orefici  4 , Luigi Santacroce  5 , Gianna Dipalma  6
Affiliations

Conservative Surgical Approach to Restore Necrotic Columella in Patients Undergoing Neonatal Usage of Nasogastric Tube

Francesco Inchingolo et al. Ann Maxillofac Surg. 2017 Jan-Jun.

Abstract

Context: A common complication, related to the use of nasogastric tube during the 1st day of life, is the necrosis of the columella. Esthetic damage in the early age typically leads to a healing request with very high result expectations.

Aims: We aimed to develop and use an innovative surgical technique.

Settings and design: We used our technique in four cases.

Subjects and methods: Our technique requires two flaps designed with two paramedian release incisions. The two flaps will be sutured to what remains of the fibrous septum; finally, the two flaps will be sutured together in the medial region.

Results: Postoperative course was devoid of any complication. All patients gained esthetic improvements and an increase in the volume of the columella on the sagittal and frontal planes.

Conclusions: This technique allows a conservative approach with low donor site morbidity and rapid postoperative course.

Keywords: Columella necrosis; maxillofacial surgery; minimally invasive surgery; plastic surgery.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a and b) Preoperative image of the necrotic columella and a synthetic scheme of the flaps. (c and d) Postoperative image of the replaced columella and a synthetic scheme of the technique used. (e and f) Postoperative image of the replaced columella in frontal and sagittal vision
See this image and copyright information in PMC

References

    1. Inchingolo F, Tatullo M, Marrelli M, Inchingolo AD, Corelli R, Inchingolo AM, et al. Semi-open rhinoplasty: A new maxillofacial technique. Head Face Med. 2012;8:13. - PMC - PubMed
    1. Inchingolo F, Tatullo M, Abenavoli FM, Marrelli M, Inchingolo AD, Corelli R, et al. Surgical treatment of depressed scar: A simple technique. Int J Med Sci. 2011;8:377–9. - PMC - PubMed
    1. Inchingolo F, Tatullo M, Marrelli M, Inchingolo AD, Corelli R, Inchingolo AM, et al. Clinical case-study describing the use of skin-perichondrium-cartilage graft from the auricular concha to cover large defects of the nose. Head Face Med. 2012;8:10. - PMC - PubMed
    1. Günlemez A, Isken T, Gökalp AS, Türker G, Arisoy EA. Effect of silicon gel sheeting in nasal injury associated with nasal CPAP in preterm infants. Indian Pediatr. 2010;47:265–7. - PubMed
    1. Son D, Kwak M, Yun S, Yeo H, Kim J, Han K. Large auricular chondrocutaneous composite graft for nasal alar and columellar reconstruction. Arch Plast Surg. 2012;39:323–8. - PMC - PubMed