Successful replantation of an almost-amputated nose

VernacularTitle:鼻头不全离断原位回植1例
Author: Meng LIU ¹ ; Wenfeng ZHAO ; Xiyue HU ; Chen ZHANG ; Jieqing WANG
Author Information

1. 大连大学附属新华医院整形外科，大连　116000
Keywords: Nose; Replantation; External nasal blood supply
From: Chinese Journal of Plastic Surgery 2024;40(5):555-559
CountryChina
Language:Chinese
Abstract: There are limited reports available regarding the treatment of amputated noses. This article presented a case of an incompletely amputated nose in a 47-year-old male who was admitted to Dalian University Affiliated Xinhua Hospital in July 2023. He was characterized by an amputated right nasal tip and alar region, with an avulsion area of approximately 4 cm×4 cm. The broad pedicle was connected to the nasal base, approximately 5 mm below the remaining nasal column, and only the nasal column retained a satisfactory arterial blood supply. During the operation, the amputated tissue was implanted in situ, and clindamycin was employed to prevent infection after the operation by intravenous infusion. Bloodletting with flaps, wet application of heparin saline, and massage were employed and all the amputated tissue survived. The appearance of the nose was deemed acceptable. By reviewing relevant literature, the author discussed and summarized the methods of nasal blood supply and treatment for nasal amputated injuries, thereby providing a reference for the management of similar cases.