Partial salvage of avulsed tissue after dog bite
Øregaard JS, Lang CL, Venzo A (2015) · Annals of the Royal College of Surgeons of England · n=1
Perfil del estudio
- Diseño
- single-patient case report (18-year-old woman, central facial dog bite injury, Rigshospitalet Copenhagen)
- Tamaño de la muestra (n)
- 1
- Intervención
- Microsurgical arterial anastomosis for nasal tip replantation with leech therapy when venous anastomosis impossible; skin necrosis subsequently managed with revision and full-thickness skin graft
- Comparador
- No control - case report
- Punto final primario
- Nasal tissue salvage and aesthetic outcome after dog bite avulsion
- Resultado primario
- Partial nasal salvage achieved through arterial-only anastomosis with leech therapy; subsequent skin necrosis required revision with full-thickness skin graft; satisfactory cosmetic and functional result at 8-month follow-up
- Duración del seguimiento
- 8 months postoperative
- PMID
- 26673050
Hallazgos clave
- Facial dog bite avulsion salvage with arterial-only anastomosis + leech
- Subsequent skin necrosis required revision
- Healthy tissue immediately below necrotic skin enabled FTSG closure
- Satisfactory 8-month aesthetic outcome
- Demonstrates leech utility in facial reconstruction context
Limitaciones
- Single case - limited generalizability
- Partial necrosis suggests leech alone insufficient
- 8-month follow-up may not capture long-term outcomes
- Subjective cosmetic assessment
- Cannot quantify leech contribution to partial salvage
Implicaciones clínicas
Øregaard 2015 documents leech therapy's role in facial dog-bite avulsion salvage. For US clinicians under K040187, the case demonstrates the device's utility in facial trauma beyond ear replantation - specifically, when arterial-only anastomosis is necessary because no suitable veins are available for primary anastomosis. The eventual need for FTSG revision shows leech therapy is not a panacea.
Estudios relacionados
Successful Microsurgical Replantation of Amputated Penis: A Case Report and Review of Literature
Akhoondinasab MR, Farahmand HR, Zahedi A, Saraee A (2023)
Complete penile amputation during ritual neonatal circumcision and successful replantation using postoperative leech therapy
Banihani OI, Fox JA, Gander BH, Grunwaldt LJ, Cannon GM (2014)
Leeches and Caudal Analgesia After Replantation for Glans Amputation During Neonatal Circumcision
Mousa A, Keefe DT, Wong K, Davidge K, Lorenzo AJ, Dos Santos J (2022)
Penile Replantation: A Review of Microsurgical Techniques, Patient Outcomes, and Solutions to Complex Reconstructive Challenges
Arbel EJ, Reese AD, Richards R, Singh S, O'Shea AW, Hennig F, Abramowitz D (2024)