Dog Bite

[SavageGlow]

We report a case of a 71-year-old female patient who sustained a severe midface soft tissue avulsion injury from a family canine. The removed tissue was recovered from the canine’s digestive tract and transferred to the hospital where emergent microvascular replantation was performed. The tissue survived for 72 hours, but then developed vascular compromise. Despite aggressive revision of multiple anastomoses with extensive use of vein grafting, the replanted segment was lost. Eventual reconstruction was performed in stages over the next several months including further cheek advancement, mucoperiosteal nasal septal turnover flaps for nasal lining, a three-stage forehead flap for external nasal coverage, and nasolabial flaps for correction of nostrils with an acceptable cosmetic and functional outcomes

[Suicide_Note]

All things considered, I'd say this was a win for the old gal. The reconstruction makes her look 5 years younger.

[mr_feelgood]

Oh that's rough

[kellyhound]

Bit more info:

Bitten by a domestic, 1-year-old, male pit bull terrier. The avulsed tissue measured 10 by 8 cm and included the nasal tip, soft triangles, columella, ala, lower lateral cartilages and portions of the upper lateral cartilages, a portion of the dorsum and lateral walls, nasal lining, as well as nasolabial grooves, upper lip with orbicularis oris, vermillion and mucosa to the level of the gingivobuccal sulcus.

On arrival at the hospital, accompanying police had been unable to find the avulsed segment and believed it to have been swallowed by the dog.

Knowing the complexity of reconstruction, the plastic surgery team requested an attempt to obtain this part from the animal by transfer to a local veterinary facility.

The animal was euthanized, and the avulsed part found whole in the duodenum. It was rapidly washed and transported on ice to the hospital for inspection and possible replantation.

The time from injury to surgery was approximately 6 hours.

Unblurred pic

[T2]

Damn, that's rough!

[Elizabeth76]

Poor woman.. get a dog they said..it'll be your best friend they said..it'll protect you they said..but they didn't say it could go crazy and bite your face off? Guess they left that part out.