Partial salvage of avulsed tissue after dog bite

Case report published in Ann R Coll Surg Engl (2015)

Última actualización: June 18, 2026Revisado por: ASH Editorial Board

Research article — evidence reviewArticle reference

Evidence: Case reportEnsayos clínicosOregaard JS et al. · Annals of the Royal College of Surgeons of England, 2015

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.

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

Publication typeCase ReportsJournal Article

Indexed MeSH termsAdolescentAmputation, TraumaticAnimalsBites and StingsDogsFemaleHumansNecrosisNoseReplantationSkin TransplantationSurgical Flaps

Resumen

18-year-old female with dog-bite avulsion of central face underwent replantation with microsurgical arterial anastomosis and leech therapy for venous congestion. Functional and cosmetic results satisfactory at 8 months.

Por qué esto importa para la hirudoterapia

This case report describes an 18-year-old woman who underwent replantation of nasally avulsed tissue after a dog bite, where venous anastomosis was impossible and venous congestion was treated with leech therapy. Some skin necrosis occurred requiring revision and a full-thickness skin graft, but the final cosmetic and functional result at eight months was satisfactory. This is directly relevant to ASH's domain as a documented clinical use of leech therapy for venous congestion following microsurgical replantation. The honest caveat is that this is a single case report, the leech therapy did not prevent partial necrosis, the exact contribution of leeching to the ultimate outcome is unclear from the abstract, and no details about leech species, number, or duration are provided.

Citación

Partial salvage of avulsed tissue after dog bite.

Oregaard JS et al. · Annals of the Royal College of Surgeons of England, 2015

DOI

Contexto clínico relacionado

Explore cómo esta investigación se conecta con la práctica clínica

Clinical Evidence Clinical Applications Microsurgery Outcomes Surgery Chronic Venous Insufficiency Venous Disease Otolaryngology

Aviso legal — investigación y educación

La información en esta página se proporciona únicamente con fines educativos e informativos y no constituye asesoramiento médico, diagnóstico o recomendaciones de tratamiento. Los resúmenes de evidencia clínica reflejan la literatura publicada revisada por pares y no implican eficacia terapéutica fuera de los contextos autorizados por la FDA.

La autorización FDA 510(k) para sanguijuelas medicinales se limita a indicaciones específicas. Las aplicaciones en investigación y fuera de indicación se identifican como tales. Los profesionales deben consultar las directrices vigentes de la FDA, los protocolos institucionales y las normativas estatales aplicables antes del uso clínico.

ASH apoya la evaluación rigurosa basada en evidencia de todas las aplicaciones de hirudoterapia mediante ensayos clínicos controlados e investigación revisada por pares.

Añadido a la biblioteca ASH: May 27, 2026 · Última actualización del sitio: June 18, 2026