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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

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Leech Therapy for Complex Facial Lacerations.

Jason E Cohn¹, Sammy Othman², Marissa Evarts¹

¹Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine.

The Journal of Craniofacial Surgery

|November 10, 2020

Summary

This summary is machine-generated.

Medicinal leech therapy effectively treats venous congestion after facial trauma repair. This method aids in vascular decompression, preserving tissue viability and aesthetics in complex cases.

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Area of Science:

Plastic Surgery
Regenerative Medicine
Wound Healing

Background:

Facial trauma presents significant reconstructive challenges, impacting both tissue viability and aesthetics.
Venous congestion is a common complication following complex facial laceration repair, potentially compromising outcomes.
Medicinal leech therapy is a recognized method for promoting vascular decompression and managing venous stasis.

Purpose of the Study:

To evaluate the efficacy of medicinal leech therapy in managing venous congestion after traumatic soft-tissue repair of the face.
To assess the impact of leech therapy on reducing edema and venous stasis in patients with complex facial injuries.

Main Methods:

A retrospective chart review was conducted.
Identified patients who received medicinal leech therapy for venous stasis post-facial laceration repair.
Therapy duration ranged from 48 to 72 hours.

Main Results:

Three patients with auricular or lip avulsion and venous congestion were treated.
Medicinal leech therapy resulted in significant reduction of edema and venous stasis in all patients.
Successful vascular decompression was achieved with no adverse sequelae.

Conclusions:

Medicinal leech therapy is an effective treatment for venous congestion following facial trauma repair.
The therapy is particularly beneficial when arterial inflow is preserved.
Authors advocate for the use of medicinal leeches in managing post-repair venous congestion in facial reconstruction.