title: Long-term outcomes of microsurgical nasal replantation: review of the literature and illustrated 10-year follow-up of a pediatric case with full sensory recovery.
abstract: We present a case of successful artery only total nose replantation in an 18-month-old child, with 10 years of follow-up and full sensory recovery despite no nerve repair. The common absence of veins for anastomosis does not prevent successful replant, as demonstrated with the use of Hirudo medicinalis use in this unique case. We comprehensively review the literature of this rare and complex injury and advocate microsurgical replantation where possible over other methods of nasal reconstruction.
authors.affiliation: Welsh Centre for Burns and plastic Surgery, Morriston Hospital , Swansea , UK ; Reconstructive and Regenerative Medicine Research Unit (ReconRegen), Institute of Life Science, College of Medicine, Swansea University , Swansea , UK.
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Marsden
authors.affiliation: Welsh Centre for Burns and plastic Surgery, Morriston Hospital , Swansea , UK ; Occupational Therapy Department, Morriston Hospital , Swansea , UK.
authors.forename: Amanda
authors.initials: A
authors.lastname: Kyle
authors.affiliation: Welsh Centre for Burns and plastic Surgery, Morriston Hospital , Swansea , UK ; Reconstructive and Regenerative Medicine Research Unit (ReconRegen), Institute of Life Science, College of Medicine, Swansea University , Swansea , UK.
authors.forename: Zita M
authors.initials: ZM
authors.lastname: Jessop
authors.affiliation: Welsh Centre for Burns and plastic Surgery, Morriston Hospital , Swansea , UK ; Reconstructive and Regenerative Medicine Research Unit (ReconRegen), Institute of Life Science, College of Medicine, Swansea University , Swansea , UK.
authors.forename: Iain S
authors.initials: IS
authors.lastname: Whitaker
authors.affiliation: Welsh Centre for Burns and plastic Surgery, Morriston Hospital , Swansea , UK.
authors.forename: Hamish
authors.initials: H
authors.lastname: Laing
keywords: Hirudo medicinalis; artery-only-replantation; composite graft; nasal reconstruction; nose replantation; sensory recovery