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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)

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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.

 

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