Leech Therapy for Complex Facial Lacerations
| Autor: | Paul Papajohn, Jason E. Cohn, Marissa Evarts, Jillian Mattioni, Seth Zwillenberg, Sammy Othman |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Facial trauma
medicine.medical_specialty Soft Tissue Injuries animal structures Decompression Lacerations Venous stasis Avulsion 03 medical and health sciences 0302 clinical medicine Leeches Edema medicine Leech Therapy Animals Humans 030223 otorhinolaryngology Facial lacerations Retrospective Studies Tissue viability business.industry Leeching 030206 dentistry General Medicine medicine.disease Surgery Otorhinolaryngology medicine.symptom business |
| Zdroj: | Journal of Craniofacial Surgery. 32:e335-e337 |
| ISSN: | 1536-3732 1049-2275 |
| DOI: | 10.1097/scs.0000000000007111 |
| Popis: | Facial trauma can pose challenging reconstructive obstacles in both maintaining tissue viability and restoring aesthetic appearance. Medicinal leech therapy can help to promote vascular decompression in the setting of venous congestion. A retrospective chart review was conducted to identify patients who underwent medicinal leech therapy following venous stasis secondary to repair of a complex facial laceration. Three patients were identified; 2 suffered auricular avulsion, while 1 suffered a lip avulsion. All patients suffered from venous congestion and underwent medicinal leech therapy for 48 to 72 hours with reduction of edema and stasis. Decompression was successfully achieved with no further sequelae on last follow-up. Medicinal leech therapy is an adequate treatment for venous congestion following traumatic soft-tissue repair of the face. The authors advocate for the utilization of medicinal leeches to combat venous congestion after repair, particularly when arterial inflow remains intact. |
| Databáze: | OpenAIRE |
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