World Congress Integrative Medicine & Health 2017: Part one: Berlin, Germany. 3-5 May 2017

2017年世界整合医学与健康大会:第一部分:德国柏林,2017年5月3-5日

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Abstract

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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