Survival of Large Replanted Segment of Upper Lip and Nose

Supermicrosurgical replantation of a small amputated nasal tissue in a child

“…'s successful case, exploration and anastomosis of one artery and one vein of approximately 0.6 mm took a total operating time of under 3 h. The anesthetic time for this case was <2 h, illustrating that replantation can be performed within a reasonable duration . Many similar cases reported in the literature have consistently reported success in replanting nasal subunits with only arterial repair , suggesting the need to survey for available artery only and hence obviating the need for time spent looking for vein.…”

“…There is a general belief that composite grafting of traumatically amputated nasal tissue has poor outcome [1,2]; however, related publications are few. A Pubmed search of the keywords "nasal amputation" or "nose amputation" yielded only 22 articles in the English literature related to either composite grafting [3][4][5][6][7][8][9][10] or microvascular replant [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] of amputated nasal segments. In the seven articles related to composite grafting, a total of 12 cases are reported.…”

Lip replantation and delayed inset after a dog bite: A case report and literature review

“…Duroure et al 2 published a series of three cases in France and the remaining publications are single case studies. [3][4][5][6][7][8][9][10] In all, 24 cases of successful lip replantation have been reported in the English literature.…”

“…Successful venous anastomoses have been described in the minority of cases. 1,5,10 Several publications describe the use of a ''flow through'' replant where the contralateral labial artery is anastamosed to a recipient vein to provide venous outflow. 6,7,9 These few authors report good results from this technique, but others also report viability without any venous anastomosis, by using other adjuvant techniques.…”

A case of paediatric nasal avulsion replanted using microsurgery

“…James first carried it out for a dog-bite avulsion of the nose and upper lip in 1976. 5 To date, eight cases of traumatic isolated nasal avulsions treated with this technique have been reported. 3,4,[6][7][8][9][11][12][13] In four of these cases, 7-9,11 venous outflow could not be reconstructed for the replanted segment, as in our case.…”