Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2009 Apr;29(2):92-6.

Amputation trauma of the face: surgical techniques and microsurgical replantations

A Baj  1 , Ga Beltramini, F Laganà, V Bonanno, G De Riu, Ab Giannì
Affiliations
Case Reports

Amputation trauma of the face: surgical techniques and microsurgical replantations

A Baj et al. Acta Otorhinolaryngol Ital. 2009 Apr.

Abstract
in English, Italian

The reconstruction of facial parts after traumatic amputation is of special interest because of the psychological and functional implications such accidents have on the patient. Most amputations result from dog bites or knife wounds and are often sustained by children and young adults. The amputated part may be an anatomic structure of functional importance (e.g. , the lips) or a static structure of primarily aesthetic importance (e.g. , the ear or nose). Here, the Authors present results in 6 cases of facial amputation reconstructed using microsurgical replantation for upper lip amputation, with use of the facial artery musculomucosal flap to fill labial defects, and the Mladick method for ear replantation.

Le amputazioni che interessano il distretto facciale rappresentano un’area di notevole interesse ricostruttivo, non certo per la frequenza dell’evento, quanto per le implicazioni psicologiche e funzionali che tali difetti determinano. La maggior parte delle amputazioni facciali sono da attribuire a morso di cane o a ferite da arma da taglio e spesso colpiscono bambini o giovani adulti. Le amputazioni possono interessare strutture anatomiche di importante valore funzionale come le labbra, oppure, colpire strutture statiche di rilevanza primariamente estetica, come il padiglione auricolare o il naso. In questo lavoro gli Autori presentano sei casi di amputazioni facciali ricostruite mediante reimpianto microchirurgico, il lembo muscolo-mucoso di arteria facciale applicato ai difetti labiali e la tecnica di Mladick per i difetti del padiglione auricolare.

Keywords: Dog bite; Face; Lip; Microvascular replantation; Traumatic amputation.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Case 1. A 2-year-old girl: amputation of three-quarters of the mid lower lip in a fall.
Fig. 2
Fig. 2
Case 1. FAMM flap harvesting.
Fig. 3
Fig. 3
Case 1. Immediate post-operative view.
Fig. 4
Fig. 4
Case 1. 1-year follow-up.
Fig. 5
Fig. 5
Case 1. 4-year follow-up.
Fig. 6
Fig. 6
Case 2. A 32-year-old female with partial amputation of upper lip resulting from dog bite; defect comprising vermilion and philtrum.
Fig. 7
Fig. 7
Case 2. Immediate post-operative view.
Fig. 8
Fig. 8
Case 2. Leech therapy.
Fig. 9
Fig. 9
Case 2. 3-year follow-up.
Fig. 10
Fig. 10
Case 3. A 19-year-old male with upper-third of ear amputated by dog bite.
Fig. 11
Fig. 11
Case 3. View following cartilage reattachment.
Fig. 12
Fig. 12
Case 3. Mladick retro-auricular pocket method. Immediate post-operative view.
Fig. 13
Fig. 13
Case 3. 18-month follow-up.
Fig. 14
Fig. 14
Case 3. 18-month follow-up: ear details.
See this image and copyright information in PMC

References

    1. Mladick RA, Horton CE, Adamson JE, Cohen BI. The pocket principle: a new technique for the reattachment of a severed ear part. Plast Reconstr Surg 1971;48:219-23. - PubMed
    1. Pribaz, J, Stephens W, Crespo L, Gifford G. A new intraoral flap: facial artery musculomucosal (FAMM) flap. Plast Reconstr Surg 1992;90:421-9. - PubMed
    1. Baj A, Rocchetta D, Beltramini G, Giannì AB. FAMM flap reconstruction of the inferior lip vermilion: surgery during early infancy. J Plast Reconstr Aesthet Surg 2008;61:425-7. - PubMed
    1. Simon E, Stricker M, Duroure F. Red lip defects. Reconstructive techniques and indications. Ann Chir Plast Esthet 2002;47:436-48. - PubMed
    1. Stricker M, Simon E, Duroure F. Full thickness defects of the lips. Reconstructive techniques and indications. Ann Chir Plast Esthet 2002;47:449-78. - PubMed

Publication types

LinkOut - more resources