Columellar reconstruction with chondrocutaneous graft after injury caused by CPAP
Introduction: Continuous positive pressure in the nasal airways (CPAP) is a non-invasive form of ventilation used in premature newborns in intensive care units. However, it can affect the nose of these patients, even evolving with ischemia and columellar necrosis. Several techniques are described to...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2020-09-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/2803/en_v35n3a18.pdf |
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| author | Giovanna Calil Vicente Franco de Souza Claudio Messias Moraes Marcos Antônio Teixeira do Amaral Filho Sara Ferreira Faro Daniel de Cazeto Lopes Ricardo Portella Perrone |
| author_facet | Giovanna Calil Vicente Franco de Souza Claudio Messias Moraes Marcos Antônio Teixeira do Amaral Filho Sara Ferreira Faro Daniel de Cazeto Lopes Ricardo Portella Perrone |
| author_sort | Giovanna Calil Vicente Franco de Souza |
| collection | DOAJ |
| description | Introduction: Continuous positive pressure in the nasal airways (CPAP) is a non-invasive form of ventilation used in premature newborns in intensive care units. However, it can affect the nose of these patients, even evolving with ischemia and columellar necrosis. Several techniques are described to reconstruct the columella, such as skin grafts, composite grafts, local flaps, and free flaps, but the atrial chondrocutaneous graft has stood out. This study aims to describe a case of columella necrosis using CPAP with reconstruction using posterior atrial chondrocutaneous grafting.
Case Report: A brown, female patient, with a history of prematurity and prolonged use of CPAP when she was born due to hyaline membrane syndrome, developed columella necrosis. The patient underwent posterior auricular chondrocutaneous grafting to reconstruct the columella. She presented a satisfactory surgical result, evolving with 100% graft vitality.
Discussion: Columellar necrosis associated with the use of CPAP can be aesthetically and functionally debilitating, and represents a reconstructive challenge. The options for obtaining acceptable results are limited. However, the use of ear grafts is technically straightforward, uses structurally similar donor tissues, does not cause additional scarring on the nose, is performed in a surgical period, and generally has an excellent result. Posterior auricular composite grafting for columellar reconstruction proved safe, with satisfactory aesthetic and functional results and minimal morbidity in the donor area. |
| first_indexed | 2024-03-09T06:22:24Z |
| format | Article |
| id | doaj.art-fa4c15ebad8240d3907de460e4a087f6 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T06:22:24Z |
| publishDate | 2020-09-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-fa4c15ebad8240d3907de460e4a087f62023-12-03T11:34:58ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352020-09-01350336336710.5935/2177-1235.2020RBCP0063Columellar reconstruction with chondrocutaneous graft after injury caused by CPAPGiovanna Calil Vicente Franco de Souza0Claudio Messias Moraes1Marcos Antônio Teixeira do Amaral Filho2Sara Ferreira Faro3Daniel de Cazeto Lopes4Ricardo Portella Perrone5Irmandade da Santa Casa da Misericórdia de Santos, Plastic Surgery and Burning Service, Santos, SP, BrazilIrmandade da Santa Casa da Misericórdia de Santos, Plastic Surgery and Burning Service, Santos, SP, BrazilIrmandade da Santa Casa da Misericórdia de Santos, Plastic Surgery and Burning Service, Santos, SP, BrazilIrmandade da Santa Casa da Misericórdia de Santos, Plastic Surgery and Burning Service, Santos, SP, BrazilIrmandade da Santa Casa da Misericórdia de Santos, Plastic Surgery and Burning Service, Santos, SP, BrazilIrmandade da Santa Casa da Misericórdia de Santos, Plastic Surgery and Burning Service, Santos, SP, BrazilIntroduction: Continuous positive pressure in the nasal airways (CPAP) is a non-invasive form of ventilation used in premature newborns in intensive care units. However, it can affect the nose of these patients, even evolving with ischemia and columellar necrosis. Several techniques are described to reconstruct the columella, such as skin grafts, composite grafts, local flaps, and free flaps, but the atrial chondrocutaneous graft has stood out. This study aims to describe a case of columella necrosis using CPAP with reconstruction using posterior atrial chondrocutaneous grafting. Case Report: A brown, female patient, with a history of prematurity and prolonged use of CPAP when she was born due to hyaline membrane syndrome, developed columella necrosis. The patient underwent posterior auricular chondrocutaneous grafting to reconstruct the columella. She presented a satisfactory surgical result, evolving with 100% graft vitality. Discussion: Columellar necrosis associated with the use of CPAP can be aesthetically and functionally debilitating, and represents a reconstructive challenge. The options for obtaining acceptable results are limited. However, the use of ear grafts is technically straightforward, uses structurally similar donor tissues, does not cause additional scarring on the nose, is performed in a surgical period, and generally has an excellent result. Posterior auricular composite grafting for columellar reconstruction proved safe, with satisfactory aesthetic and functional results and minimal morbidity in the donor area.http://www.rbcp.org.br/export-pdf/2803/en_v35n3a18.pdfacquired nasal deformitiesnecrosiscontinuous positive airway pressurereconstructive surgical proceduresautografts |
| spellingShingle | Giovanna Calil Vicente Franco de Souza Claudio Messias Moraes Marcos Antônio Teixeira do Amaral Filho Sara Ferreira Faro Daniel de Cazeto Lopes Ricardo Portella Perrone Columellar reconstruction with chondrocutaneous graft after injury caused by CPAP Revista Brasileira de Cirurgia Plástica acquired nasal deformities necrosis continuous positive airway pressure reconstructive surgical procedures autografts |
| title | Columellar reconstruction with chondrocutaneous graft
after injury caused by CPAP |
| title_full | Columellar reconstruction with chondrocutaneous graft
after injury caused by CPAP |
| title_fullStr | Columellar reconstruction with chondrocutaneous graft
after injury caused by CPAP |
| title_full_unstemmed | Columellar reconstruction with chondrocutaneous graft
after injury caused by CPAP |
| title_short | Columellar reconstruction with chondrocutaneous graft
after injury caused by CPAP |
| title_sort | columellar reconstruction with chondrocutaneous graft after injury caused by cpap |
| topic | acquired nasal deformities necrosis continuous positive airway pressure reconstructive surgical procedures autografts |
| url | http://www.rbcp.org.br/export-pdf/2803/en_v35n3a18.pdf |
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