CASE THREE |
Summary: A 22-year-old male patient who suffered a severe crush injury to his right ear. Injury was caused by a concrete mixer resulting in almost complete avulsion of his right ear with multiple and extensive contusion crush-type lacerations. The ear was reattached. About 10 hours postoperatively, obvious venous congestion was noted. It was felt that medicinal leeches were required to salvage the ear.
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16 Hours Postoperatively: Photograph shows severe venous congestion in the reimplanted ear following surgery. |
48 Hours Postoperatively: 4 leeches have been applied every 8 hours. Definite improvement in venous congestion was noted. |
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Two Months Postoperatively: The entire ear survived except for a small area around the lobule of the ear. |
72 Hours Postoperatively: 3 leeches have been applied every 8 hours. The ear was less swollen and obviously viable with markedly improved venous drainage. |
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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