[Face replantation using labial artery for revascularization. Case report]
Miguel de la Parra-Márquez1, Sergio Mondragón-González, Jaime López-Palazuelos
1Departamento de Cirugía Plástica y Microcirugía Unidad Médica de Alta Especialidad 21, Instituto Mexicano del Seguro Social. Monterrey, Nuevo León, México, drdelaparra@yahoo.com.mx
Background:
Restoration of the face function and cosmetic appearance after a traumatic complex wound is a challenge for the plastic surgeon. Worldwide, few cases have been reported about face replantation.
Objective:
To present the case of the first partial face replantation reported in the national bibliography, using the labial artery for revascularization.
Clinical Case:
On June 19th 2011, a 7 years old male presented to the emergency room of the Mexican Institute of Social Security at Monterrey, Mexico, 4 hours after a partial face amputation secondary to a dog bite. The amputated segment was composed of 75% of the upper lip, 33% of the lower lip, oral commissure and 75% of the left cheek. The labial coronary artery and vein were anastomosed with 11-0 nylon sutures and the miorraphy of the orbicularis oris, the depressor anguli oris and the depressor labii inferioris with 4-0 vycril sutures. Six months after the surgery, the functional and aesthetic outcomes were excellent with reestablishment of total labial continence and total recovery of articulation of words.
Conclusions:
amputations of any facial component should be initially managed with replantation. The function and cosmetics are better than any other technique of reconstruction. The labial coronary artery is an excellent choice for revascularization up to 25% of the face (lips and cheek).
