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Posttraumatic Lip Replantation in a Pregnant Woman

Traumatic lip amputation is a devastating injury. No other tissue replicates its unique histology, often limiting the reconstructive outcome. Replantation is a technically challenging procedure, requiring extensive postoperative optimization, including systemic anticoagulation, leech therapy, signif...

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Autores principales: Caragher, Seamus P., Hwang, Charles D., Gardenier, Jason C., Khouri, Kimberly S., Buta, Martin R., McCarty, Justin C., Ford, Olivia A., Ehret, Ashley, Cetrulo, Curtis L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9674482/
https://www.ncbi.nlm.nih.gov/pubmed/36415621
http://dx.doi.org/10.1097/GOX.0000000000004662
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author Caragher, Seamus P.
Hwang, Charles D.
Gardenier, Jason C.
Khouri, Kimberly S.
Buta, Martin R.
McCarty, Justin C.
Ford, Olivia A.
Ehret, Ashley
Cetrulo, Curtis L.
author_facet Caragher, Seamus P.
Hwang, Charles D.
Gardenier, Jason C.
Khouri, Kimberly S.
Buta, Martin R.
McCarty, Justin C.
Ford, Olivia A.
Ehret, Ashley
Cetrulo, Curtis L.
author_sort Caragher, Seamus P.
collection PubMed
description Traumatic lip amputation is a devastating injury. No other tissue replicates its unique histology, often limiting the reconstructive outcome. Replantation is a technically challenging procedure, requiring extensive postoperative optimization, including systemic anticoagulation, leech therapy, significant blood loss, and antibiosis. Given the rarity of replantation in the context of pregnancy, there are no documented accounts of lip replantation in pregnant patients. We report a case of a 25-year-old pregnant woman who sustained an avulsion injury of the right upper lip from a dog bite. The patient presented with the amputated lip and emergent microvascular replantation was performed. Postoperative course consisted of management of controlled yet significant blood loss through leech therapy and close collaboration with obstetric colleagues. The patient was ultimately discharged with successful cosmetic and functional outcome and, importantly, with maintenance of a healthy pregnancy.
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spelling pubmed-96744822022-11-21 Posttraumatic Lip Replantation in a Pregnant Woman Caragher, Seamus P. Hwang, Charles D. Gardenier, Jason C. Khouri, Kimberly S. Buta, Martin R. McCarty, Justin C. Ford, Olivia A. Ehret, Ashley Cetrulo, Curtis L. Plast Reconstr Surg Glob Open Reconstructive Traumatic lip amputation is a devastating injury. No other tissue replicates its unique histology, often limiting the reconstructive outcome. Replantation is a technically challenging procedure, requiring extensive postoperative optimization, including systemic anticoagulation, leech therapy, significant blood loss, and antibiosis. Given the rarity of replantation in the context of pregnancy, there are no documented accounts of lip replantation in pregnant patients. We report a case of a 25-year-old pregnant woman who sustained an avulsion injury of the right upper lip from a dog bite. The patient presented with the amputated lip and emergent microvascular replantation was performed. Postoperative course consisted of management of controlled yet significant blood loss through leech therapy and close collaboration with obstetric colleagues. The patient was ultimately discharged with successful cosmetic and functional outcome and, importantly, with maintenance of a healthy pregnancy. Lippincott Williams & Wilkins 2022-11-18 /pmc/articles/PMC9674482/ /pubmed/36415621 http://dx.doi.org/10.1097/GOX.0000000000004662 Text en Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Reconstructive
Caragher, Seamus P.
Hwang, Charles D.
Gardenier, Jason C.
Khouri, Kimberly S.
Buta, Martin R.
McCarty, Justin C.
Ford, Olivia A.
Ehret, Ashley
Cetrulo, Curtis L.
Posttraumatic Lip Replantation in a Pregnant Woman
title Posttraumatic Lip Replantation in a Pregnant Woman
title_full Posttraumatic Lip Replantation in a Pregnant Woman
title_fullStr Posttraumatic Lip Replantation in a Pregnant Woman
title_full_unstemmed Posttraumatic Lip Replantation in a Pregnant Woman
title_short Posttraumatic Lip Replantation in a Pregnant Woman
title_sort posttraumatic lip replantation in a pregnant woman
topic Reconstructive
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9674482/
https://www.ncbi.nlm.nih.gov/pubmed/36415621
http://dx.doi.org/10.1097/GOX.0000000000004662
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