Partial salvage of avulsed tissue after dog bite.

Abstract:

:Injuries to the nose can be severe from both a functional and cosmetic perspective. After suffering a dog bite to the central part of the face, an 18-year old woman underwent replantation of the avulsed tissue with the help of microsurgical arterial anastomosis. A venous anastomosis was impossible and venous congestion was treated with leech therapy. Subsequent skin necrosis occurred after a few days and the replantation was revised, revealing healthy tissue immediately below. The defect was covered with a full-thickness skin graft. At follow-up review eight months later, the functional and cosmetic result was satisfactory. To our knowledge, this is one of few cases where an injury of this severity healed with a cosmetically acceptable result.

journal_name

Ann R Coll Surg Engl

authors

Øregaard JS,Lang CL,Venzo A

doi

10.1308/rcsann.2016.0026

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

e22-5

issue

2

eissn

0035-8843

issn

1478-7083

journal_volume

98

pub_type

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