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.