Salvage of Partial Facial Soft Tissue Avulsions with Medicinal Leeches

@article{Frodel2004SalvageOP,
  title={Salvage of Partial Facial Soft Tissue Avulsions with Medicinal Leeches},
  author={John L. Frodel and Patrick C. Barth and Jon D. Wagner},
  journal={Otolaryngology–Head and Neck Surgery},
  year={2004},
  volume={131},
  pages={934 - 939}
}

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The authors' experience, as well as the data from the reviewed medical literature, demonstrates the importance of early intervention in order to salvage the failing, venous‐congested flap.
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Four patients in whom immediate postoperative venous congestion threatened the survival of three tissue replants and one latissimus dorsi flap were presented, two of the replants were completely salvaged; the other two failed due to infection.
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The authors think that inadequate debridement of nonvital tissues may have led to the failure of development of venous channels between the replant and the recipient bed, as manifested by the frequent requirement of leeching to relieve venous congestion long after revascularization.
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