Reconstruction of a Nose Bitten and Eaten by a Dog

Abstract

The nose is one of the most important aesthetic units of the face. After a traumatic amputation, replantation is undoubtedly the procedure of choice, although, technically, very challenging. We report the 10-year follow-up of a partially digested nose replantation after a dog-bite in an 11-year-old boy using supermicrosurgery technique. Our report confirms that the microsurgical replantation of the nose can lead to an acceptable aesthetic result, with the sufficient growth of the replanted part in the following years. Besides the patient did not report sensibility disorders. The nose replantation in our opinion is the best reconstructive option to achieve an optimal aesthetic and functional outcome.

Supermicrosurgery: History, Applications, Training and the Future

“…A major benefit of supermicrosurgery is the ability to manipulate structures on a much finer scale, allowing for precise and organic reconstructions of very delicate body parts. For example, successful replantation of partially amputated nasal segments have been performed with high rates of success ( 77 , 78 ). Additionally, reconstruction of the upper eyelid has been performed using an ear helix flap through supermicrosurgical techniques, and successful tongue reconstruction has also been previously reported using supermicrosurgery ( 18 , 79 ).…”

Total Nose and Upper Lip Replantation: A Case Report and Literature Review

“…Common postoperative complications include tissue necrosis and secondary scar contractures. 1 , 14 , 15 , 19 , 20 Total nasal replantation is uncommon. We present a case of a total nose and upper lip replantation following traumatic amputation.…”