Document Detail

Survival of an upper lip aesthetic complex using arterial reanastomosis only.
MedLine Citation:
PMID:  1872559     Owner:  NLM     Status:  MEDLINE    
Venous congestion after microvascular replantation remains a formidable problem even under ideal circumstances. The patient reported is a young woman with a traumatically avulsed upper lip aesthetic complex. Blood flow was reestablished using microanastomosis of the labial artery, however, no veins of adequate size could be recovered. With systemic administration of heparin, allowing the flap to bleed freely in addition to the use of medicinal leeches, we were able to salvage an avulsed upper lip aesthetic complex with the use of a single arterial microanastomosis. This patient report exemplifies alternative methods used in dealing with venous inadequacy in a composite replant.
C R Crawford; R C Hagerty
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  27     ISSN:  0148-7043     ISO Abbreviation:  Ann Plast Surg     Publication Date:  1991 Jul 
Date Detail:
Created Date:  1991-09-19     Completed Date:  1991-09-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  77-9     Citation Subset:  IM    
Division of Plastic Surgery, Medical University of South Carolina, Charleston 29425.
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MeSH Terms
Anastomosis, Surgical / methods
Face / blood supply
Facial Injuries / surgery*
Lip / injuries*,  surgery
Surgical Flaps / methods*

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