Partial salvage of avulsed tissue after dog bite

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

Последнее обновление: June 18, 2026Рецензент: ASH Editorial Board

Research article — evidence reviewArticle reference

Evidence: Case reportКлинические исследованияOregaard 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

Резюме

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.

Почему это важно для гирудотерапии

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.

Цитирование

Partial salvage of avulsed tissue after dog bite.

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

DOI

Связанный клинический контекст

Узнайте, как это исследование связано с клинической практикой

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

Отказ от ответственности — научно-образовательная информация

Информация на данной странице предоставлена исключительно в образовательных и информационных целях и не является медицинской консультацией, диагнозом или рекомендациями по лечению. Резюме клинических данных отражают опубликованную рецензируемую литературу и не подразумевают терапевтическую эффективность за пределами показаний, одобренных FDA.

Разрешение FDA 510(k) для медицинских пиявок ограничено конкретными показаниями. Исследовательские и офф-лейбл применения обозначены соответствующим образом. Перед клиническим использованием практикующим врачам следует руководствоваться действующими рекомендациями FDA, локальными протоколами и применимыми нормативно-правовыми актами штата.

ASH поддерживает строгую доказательную оценку всех применений гирудотерапии посредством контролируемых клинических исследований и рецензируемых публикаций.

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