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A Simple Protective Splint for Infant Nasal Reconstruction

Rifkin, William J., MD; Maroutsis, Sandra, RDH; Bohsali, Sabrina A., CDA; Flores, Roberto L., MD

doi: 10.1097/PSN.0000000000000263
Departments: Pediatric Department
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Nasal trauma is a common complication of nasal continuous positive airway pressure (NCPAP) and may range from erythema, edema, and skin breakdown to columellar necrosis. Although rare, columellar necrosis can be a devastating complication following NCPAP, and surgical repair remains challenging due to contour and color-match difficulties, tenuous vascularity, and limited available adjacent skin. In addition, because operative site protection is critical to a successful repair, many surgeons opt to delay surgical intervention from infancy until a later age so that the patient does not inadvertently injure and compromise the graft during the early postoperative period. Here, we present a case of composite nasal reconstruction in an infant following columellar necrosis secondary to NCPAP, along with the design and implementation of a simple, inexpensive, and protective nasal splint that allows for early repair at the time of infancy.

William J. Rifkin, MD, is a plastic surgery resident in the Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY.

Sandra Maroutsis, RDH, is a dental hygienist at Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY.

Sabrina A. Bohsali, CDA, is a dental assistant at Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY.

Roberto L. Flores, MD, is Joseph G. McCarthy Associate Professor of Reconstructive Plastic Surgery and Director of Cleft Lip & Palate, Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health. New York, NY.

Address correspondence to Roberto L. Flores, MD, Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, 307 E 33rd St, New York City, NY 10016 (e-mail: Roberto.Flores2@nyumc.org).

The authors report no conflicts of interest.

Copyright © 2019 by American Society of Plastic Surgical Nurses