title: Partial salvage of avulsed tissue after dog bite.
abstract: Injuries to the nose can be severe from both a functional and cosmetic perspective. After suffering a dog bite to the central part of the face, an 18-year old woman underwent replantation of the avulsed tissue with the help of microsurgical arterial anastomosis. A venous anastomosis was impossible and venous congestion was treated with leech therapy. Subsequent skin necrosis occurred after a few days and the replantation was revised, revealing healthy tissue immediately below. The defect was covered with a full-thickness skin graft. At follow-up review eight months later, the functional and cosmetic result was satisfactory. To our knowledge, this is one of few cases where an injury of this severity healed with a cosmetically acceptable result.
authors.affiliation: Rigshospitalet, Copenhagen , Denmark.
authors.forename: J S
authors.initials: JS
authors.lastname: Øregaard
authors.affiliation: Rigshospitalet, Copenhagen , Denmark.
authors.forename: C L
authors.initials: CL
authors.lastname: Lang
authors.affiliation: Rigshospitalet, Copenhagen , Denmark.
authors.forename: A
authors.initials: A
authors.lastname: Venzo
mesh_terms: D000293:Adolescent; D000673:Amputation, Traumatic / Q000473:pathology / Q000601:surgery; D000818:Animals; D001733:Bites and Stings / Q000473:pathology / Q000601:surgery; D004285:Dogs; D005260:Female; D006801:Humans; D009336:Necrosis; D009666:Nose / Q000473:pathology / Q000601:surgery; D012092:Replantation / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps
keywords: Amputation; Nose injuries; Replantation; Trauma surgery