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#1
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06-01-2024, 10:40 PM
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Nose Was Ripped Off
a mans nose and upper lip were torn off, drs managed to recover his facial appearance from surgery
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#5
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06-02-2024, 09:51 AM
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Re: Nose Was Ripped Off
This 17-year-old man was rushed to the emergency room 2 hours after an amputation of his nose and upper lip when he was slashed through the windshield in a car accident. The amputated nose and upper lip were wrapped in mull and frozen at the scene of the accident. The upper lip was continuously amputated with the nose, resulting in a 90% deformity of the upper lip. The amputated nose and upper lip segment was immediately taken to the operating room for examination. Microsurgical staples were used to mark the upper labial arteries (1.0 mm diameter) bilaterally and the left dorsal nasal artery (0.5 mm). Another dissection performed of the cranial glabellar wound to move further away from the injury zone. A suitable 0.8 mm vein was found 3.5 cm cranial. A 4cm interposition vein transplant was removed from the medial side of the right foot. When the venous anastomoses were completed, a heparinbolus with 5,000 units was administered intravenously. A good venous flow achieved and maintained. The patient was kept on bedrest for the first 3 days with his head raised in a warm room (26-28 ° C). His diet and activity increased gradually. No complications occurred post op. During his 18-month follow-up examination, the patient showed excellent permeability of the nasal airway and was very satisfied with his aesthetics. |