American Society of Hirudotherapy

Treatment Protocol for Compromised Nasal Skin

Research article published in Facial plastic surgery clinics of North America (2019)

Last Updated: March 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Clinical TrialsKerolus J, Nassif P · Facial plastic surgery clinics of North America, 2019

Abstract

As the number of patients seeking surgical and nonsurgical rhinoplasty continues to increase, the risk of nasal skin compromise after surgery also has risen. Vascular insult to the nasal skin envelope can lead to permanent disfigurement that is nearly impossible to correct. Tissue loss often requires major reconstruction that yields suboptimal cosmetic results. This article discusses prevention, early recognition, and effective treatment that aim to mitigate skin necrosis and the resulting soft tissue destruction.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeJournal ArticleReview
Indexed MeSH termsAdministration, CutaneousAnti-Bacterial AgentsHumansHyperbaric OxygenationLeechingNecrosisNitroglycerinNosePostoperative ComplicationsRhinoplastyRisk FactorsSkin

Summary

As the number of patients seeking surgical and nonsurgical rhinoplasty continues to increase, the risk of nasal skin compromise after surgery also has risen.

Why This Matters for Hirudotherapy

Contributes clinical evidence for the therapeutic application of leech therapy.

Citation

Treatment Protocol for Compromised Nasal Skin.

Kerolus J, Nassif P · Facial plastic surgery clinics of North America, 2019

Added to ASH library: March 18, 2026 · Site last updated: March 18, 2026

This website provides educational information and does not constitute medical advice, diagnosis, or treatment recommendations. Medicinal leech therapy carries clinically meaningful risks and should be performed only by qualified clinicians under institutionally approved protocols. FDA 510(k) clearance for medicinal leeches is limited to specific indications; investigational and off-label discussions are labeled accordingly. For patient-specific guidance, consult a qualified healthcare provider.

Treatment Protocol for Compromised Nasal Skin | ASH