Document Detail


Lip replantation and delayed inset after a dog bite: a case report and literature review.
MedLine Citation:
PMID:  19382162     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Dog bites to the face are common in children and often involve amputation of the lip or cheek resulting in a devastating facial injury. When feasible, replantation of the amputated lip segment provides the optimal cosmetic outcome. Here, we present the case of a partial upper lip replantation with delayed inset as a new treatment option. Revascularization of the central upper lip segment was enabled by anastomosis to a single labial artery. Inset compression at the time of initial closure caused arterial insufficiency. Therefore, a delayed, sequential inset was performed over the following 2 weeks resulting in an esthetically and functionally successful replantation. A comprehensive review of the literature on published lip replantation techniques is also provided and discussed. We add delayed inset to the armamentarium of the microsurgeon when faced with these difficult injuries.
Authors:
Helena O B Taylor; Brian Andrews
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Microsurgery     Volume:  29     ISSN:  1098-2752     ISO Abbreviation:  Microsurgery     Publication Date:  2009  
Date Detail:
Created Date:  2009-11-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309230     Medline TA:  Microsurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  657-61     Citation Subset:  IM    
Affiliation:
Combined Harvard Plastic Surgery Training Program, Harvard Medical School, Boston, MA, USA. hotaylor@post.harvard.edu
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