CASE TWO |
Summary: A 45-year-old, white male patient who suffered a complete avulsion of the upper two-thirds of his right ear. The ear was reattached by doing a microvascular anastomosis of a small artery anteriorly. No veins were available for anastomosis. Soon after anastomosis, there was obvious venous congestion. Medicinal leeches were used for treating venous congestion.
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48 Hours Postoperatively:
3 leeches have been applied every 8 hours.
Following the initial application, obvious improvement was noted. |
24 Hours Postoperatively:
Photograph shows severe venous congestion in the reimplanted ear following complete avulsion. |
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6 Days Postoperatively:
The entire reimplanted ear was viable and healing well. |
72 Hours Postoperatively:
3 leeches have been applied every 8 hours for periods of 15 to 30 minutes. Marked improvement in color with decreased swelling and congestion was noted. |
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Two Months Postoperatively:
Complete survival of re-attached ear. |
Precedures illustrated in cases two and three were performed susccessfully by Dr. Kulwant S. Bhangoo, M.D.,F.R.C.S., FACS, FICS, Chief of Plastic Surgery at Mercy Hospital, Buffalo, New York.
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