Surgical approaches in the treatment of complications of CPAP therapy in pediatric otorhinolaryngology

The aim of the study was to evaluate the effectiveness of surgical treatment of patients with nasal columella defect after CPAP therapy.
Material and methods. A retrospective analysis of the treatment results of 7 patients with nasal columella defect after CPAP therapy with binasal cannulas, who underwent reconstructive stages using free revascularized flaps, was performed. All patients were treated at the Department of Pediatric Otorhinolaryngology at the Federal State Budgetary Institution NMICO of the FMBA of Russia in the period from 2015 to May 2025.
Results. The minimum follow-up period is from 6 months to 4 years. 90% of the patients were invited for a follow-up after 1 year to determine the tactics of further treatment. During the examination, positive anatomical and aesthetic results were observed in dynamics, improving the quality of life of patients.
Conclusions. The restoration of the nasal columella after the application of CPAP therapy with binasal cannulas according to our proposed method has a good result when monitoring patients in dynamics, and can be used in the department of pediatric otorhinolaryngology.
Keywords: nasal columella defect, CPAP therapy, childhood, surgical treatment
Conflict of interest. The authors declare no conflict of interest.
Financing. The research was funded from the authors’ own funds