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

CONTEXT: A common complication, related to the use of nasogastric tube during the 1(st) 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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