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 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.