Download PDF
J Reconstr Microsurg 2015; 31(02): 154-156
DOI: 10.1055/s-0034-1384820
Letter to the Editor: Short Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Pediatric Lip Replantation: A Case of Supermicrosurgical Venous Anastomosis

Rachel Rossine Baptista
1   Division of Plastic Surgery, University of São Paulo Medical School, São Paulo, Brazil
,
Guilherme Cardinali Barreiro
1   Division of Plastic Surgery, University of São Paulo Medical School, São Paulo, Brazil
,
Nivaldo Alonso
2   Division of Plastic Surgery, Craniofacial Surgery, University of São Paulo Medical School, São Paulo, Brazil
› Author Affiliations
Further Information

Publication History

12 May 2014

09 June 2014

Publication Date:
31 July 2014 (online)

Also available at
    Permissions and Reprints

Lip replantation is a rare and complex microsurgical procedure.[1] [2] Establishment of adequate venous outflow following arterial anastomosis is a challenge, especially in pediatric population given the size of the vessels. Leech therapy and scratching techniques under anticoagulation have been employed to improve venous drainage; however, these have the disadvantage of blood loss, scarring, and risk of infection. Here, we describe an upper lip replantation in a 2-year-old child following a dog bite injury using supermicrosurgical techniques for venous drainage.

 

  • References

  • 1 Daraei P, Calligas JP, Katz E, Etra JW, Sethna AB. Reconstruction of upper lip avulsion after dog bite: case report and review of literature. Am J Otolaryngol 2014; 35 (2) 219-225
    CrossrefPubMedGoogle Scholar
  • 2 Walton RL, Beahm EK, Brown RE , et al. Microsurgical replantation of the lip: a multi-institutional experience. Plast Reconstr Surg 1998; 102 (2) 358-368
    CrossrefPubMedGoogle Scholar
  • 3 James NJ. Survival of large replanted segment of upper lip and nose. Case report. Plast Reconstr Surg 1976; 58 (5) 623-625
    CrossrefPubMedGoogle Scholar
  • 4 Höltje WJ. Successful replantation of an amputated upper lip. Plast Reconstr Surg 1984; 73 (4) 664-670
    CrossrefPubMedGoogle Scholar
  • 5 Tschopp HM. Reconstructive surgery after severe animal bite injuries of the head and neck area. Chirurgia Plastica 1983; 7 (2) 89-102
    CrossrefPubMedGoogle Scholar
  • 6 Taylor HO, Andrews B. Lip replantation and delayed inset after a dog bite: a case report and literature review. Microsurgery 2009; 29 (8) 657-661
    CrossrefPubMedGoogle Scholar
  • 7 Hendrick Jr RG, Tiwari P. Successful replantation of upper lip avulsion injury using an arterialized venous anastomosis. Plast Reconstr Surg 2012; 130 (4) 628e-629e
    CrossrefPubMedGoogle Scholar
  • 8 DeLeon AN, Rinard JR, Mahabir RC. Successful replantation of a portion of the upper and lower lip with the oral commissure. Ann Plast Surg 2014; 72 (1) 3-4
    CrossrefPubMedGoogle Scholar
  • 9 de la Parra-Márquez M, Mondragón-González S, López-Palazuelos J, Naal-Mendoza N, Rangel-Flores JM. Face replantation using labial artery for revascularization. Case report [in Spanish]. Cir Cir 2013; 81 (3) 221-224
    PubMedGoogle Scholar
  • 10 Taylor GI, Caddy CM, Watterson PA, Crock JG. The venous territories (venosomes) of the human body: experimental study and clinical implications. Plast Reconstr Surg 1990; 86 (2) 185-213
    CrossrefPubMedGoogle Scholar