[Acute replantation after facial amputation injuries]

Amputation injuries to the face and scalp, although uncommon, can have devastating consequences. Microvascular replantation of the amputated tissue in the facial or scalp region often yields the best functional and aesthetic outcomes. It is crucial to promptly assess amputation injuries and contact a reconstructive plastic surgery service to discuss the possibility of microvascular replantation. While awaiting surgery, the amputated tissue should be wrapped in moist gauze, placed in a sealed plastic bag, and stored in an ice water bath or a refrigerator. In the literature, the success rate for microvascular replantation of the face and scalp exceeds 70% for urgent replantations. Notably, successful replantation has been reported even after extended cold ischemia times. However, it is essential to recognize that longer ischemic times are associated with an increased risk of replantation failure.