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Year : 2017  |  Volume : 7  |  Issue : 1  |  Page : 89-91

Conservative surgical approach to restore necrotic columella in patients undergoing neonatal usage of nasogastric tube

1 Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, Bari, Italy
2 Department of Head and Neck Diseases, Fatebenefratelli, Rome, Italy
3 Department of Dental and Maxillofacial Sciences, University of Rome “Sapienza,”, Rome, Italy
4 Society of Italian Maxillo Odontostomatology, Rome, Italy
5 Ionian Department (DISGEM), University of Bari “Aldo Moro”, Bari, Italy
6 Private Practice, Bari, Italy

Correspondence Address:
Francesco Inchingolo
Department of Interdisciplinary Medicine, University of Bari, Place Giulio Cesare, 11, Bari
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DOI: 10.4103/ams.ams_130_16

PMID: 28713742

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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.

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