J Korean Soc Plast Reconstr Surg Search

CLOSE


Journal of the Korean Society of Plastic and Reconstructive Surgeons 2005;32(1):124-130.
Published online January 1, 2005.
Replantation of Nose Amputation by Use of Medical Leech.
Youngmin Yim, Ho Kwon, Deuk Young Oh, Ji Yoen Lee, Sung No Jung
Department of Plastic Surgery, The Catholic University of Korea College of Medicine, Kyunggi, Korea. jsn7190@catholic.ac.kr
Abstract
In the microsurgical era, replantation with microvascular anastomosis is considered as the most superior method in aspects of texture, color, shape in case of nose amputation. There are some reported cases of replantation in nose amputation historically, but most of them are composite graft cases rather than microvascular anastomosis. Only a few cases of successful nasal replantation with microvascular anastomosis have been reported due to the reason that the size of vessels is usually very small and identifying suitable vessels for anastomosis is difficult. Microanastomosis of artery and microanastomosis of vein are ideal in replantation, but identifying suitable veins is often difficult. Without venous anastomosis, resolving the venous congestion remains to be a problem. We can carry out arteriovenous shunt if we can find two arteries in amputee. However, the smaller the size of amputee is, the more difficult it is to find two arteries. Instead of arteriovenous shunt, we can try external venous drainage(frequently swab, pin-prick, stab incision, IV or local heparin injection, dropping, apply of heparin-soaked gauze, use of medical leech). Here, we present three cases of replantation with microscopical arterial anastomosis (one angular artery, two dorsal nasal arteries) and external venous drainage (stab incision, application of medical leech and heparin-soaked gauze) even though the size of amputee may be as small as 1.5x1.0 cm. In all cases, surgical outcomes were excellent in cosmetic and functional aspects. This report describes successful replantation by microvasular anastomosis in case that suitable veins are not found.
Keywords: Nose Amputation; Replantation; Leech
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 148 View
  • 0 Download

Replantation of Amputated Digits in Elderly Patients.2010 September;37(5)

Replantation of Multi-level Amputated Digit.2011 September;38(5)

Reconstruction of Fingertip Amputation by Using Digital Artery Perforator Flap.2008 July;35(4)

Bacterial Identification in the Medicinal Leech.2000 November;27(6)

Replantation of the amputated finger tip.1992 November;19(6)



ABOUT
ARTICLE & SPECIALITY
Article category

Browse all articles >

Speciality

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-2003, Lotte Castle President, 109, Mapodaero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-3472-8252    Fax: +82-2-3472-4254    E-mail: apsedit@gmail.com                

Copyright © 2019 by Korean Society of Plastic and Reconstructive Surgeons. All rights reserved.

Developed in M2community

Close layer
prev next