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CC BY-NC-ND 4.0 · J Reconstr Microsurg Open 2018; 03(02): e82-e86
DOI: 10.1055/s-0038-1676606
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Attempted Nose and Lip Replantation after Partial Animal Digestion

Trajan A. Cuellar
1   Division of Plastic Surgery, Brigham and Women's Hospital, Boston, Massachusetts
,
Catherine M. Westbom
1   Division of Plastic Surgery, Brigham and Women's Hospital, Boston, Massachusetts
,
Dennis Orgill
1   Division of Plastic Surgery, Brigham and Women's Hospital, Boston, Massachusetts
,
Julian J. Pribaz
2   Division of Plastic Surgery, Morsani College of Medicine, Tampa General Hospital, Tampa, Florida
,
Edward J. Caterson
1   Division of Plastic Surgery, Brigham and Women's Hospital, Boston, Massachusetts
,
Simon G. Talbot
1   Division of Plastic Surgery, Brigham and Women's Hospital, Boston, Massachusetts
› Author Affiliations
Further Information

Publication History

01 October 2018

16 October 2018

Publication Date:
18 December 2018 (online)

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Abstract

We report a case of a 71-year-old female patient who sustained a severe midface soft tissue avulsion injury from a family canine. The removed tissue was recovered from the canine's digestive tract and transferred to the hospital where emergent microvascular replantation was performed. The tissue survived for 72 hours, but then developed vascular compromise. Despite aggressive revision of multiple anastomoses with extensive use of vein grafting, the replanted segment was lost. Reconstruction then proceeded along traditional lines with an acceptable cosmetic outcome and good functional outcomes.

Keywords

replantation - dog bite - facial reconstruction
 

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