Successful microsurgical lip replantation: Monitoring venous congestion by blood glucose measurements in the replanted lip
Replantation of an amputated lip using microvascular anastomosis is the best option for restoration of the defect. However, the amputated region often lacks veins with appropriate diameters for microvascular anastomoses and typically necessitates both postoperative exsanguination using medicinal lee...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2018-03-01
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| Series: | JPRAS Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587817300700 |
| _version_ | 1819181704588296192 |
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| author | Kazufumi Tachi Masanori Mori Reiko Tsukuura Rintaro Hirai |
| author_facet | Kazufumi Tachi Masanori Mori Reiko Tsukuura Rintaro Hirai |
| author_sort | Kazufumi Tachi |
| collection | DOAJ |
| description | Replantation of an amputated lip using microvascular anastomosis is the best option for restoration of the defect. However, the amputated region often lacks veins with appropriate diameters for microvascular anastomoses and typically necessitates both postoperative exsanguination using medicinal leeches and a blood transfusion. We present a case of the successful replantation of an avulsed lip in which postoperative congestion was evaluated objectively by measuring blood glucose levels in the replanted region. The patient presented to our hospital with an upper lip avulsion that was caused by a dog bite. The lip was replanted by the microvascular anastomoses of one artery and two veins using interposed vein grafts. The replanted lip showed signs of congestion on postoperative day one; exsanguination using medicinal leeches was attempted, while blood glucose levels were measured every three hours. Critical congestion, which did not occur in this patient, was defined as a blood glucose level lower than 40 mg/dL. Lip replantation was successful without any complications in this patient. |
| first_indexed | 2024-12-22T22:34:28Z |
| format | Article |
| id | doaj.art-eb2a56b067ad4b4bac4a13e16ab75327 |
| institution | Directory Open Access Journal |
| issn | 2352-5878 |
| language | English |
| last_indexed | 2024-12-22T22:34:28Z |
| publishDate | 2018-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj.art-eb2a56b067ad4b4bac4a13e16ab753272022-12-21T18:10:21ZengElsevierJPRAS Open2352-58782018-03-0115C515510.1016/j.jpra.2017.11.002Successful microsurgical lip replantation: Monitoring venous congestion by blood glucose measurements in the replanted lipKazufumi TachiMasanori MoriReiko TsukuuraRintaro HiraiReplantation of an amputated lip using microvascular anastomosis is the best option for restoration of the defect. However, the amputated region often lacks veins with appropriate diameters for microvascular anastomoses and typically necessitates both postoperative exsanguination using medicinal leeches and a blood transfusion. We present a case of the successful replantation of an avulsed lip in which postoperative congestion was evaluated objectively by measuring blood glucose levels in the replanted region. The patient presented to our hospital with an upper lip avulsion that was caused by a dog bite. The lip was replanted by the microvascular anastomoses of one artery and two veins using interposed vein grafts. The replanted lip showed signs of congestion on postoperative day one; exsanguination using medicinal leeches was attempted, while blood glucose levels were measured every three hours. Critical congestion, which did not occur in this patient, was defined as a blood glucose level lower than 40 mg/dL. Lip replantation was successful without any complications in this patient.http://www.sciencedirect.com/science/article/pii/S2352587817300700LipReplantationDog biteBlood glucose levelMicrosurgeryMonitoring |
| spellingShingle | Kazufumi Tachi Masanori Mori Reiko Tsukuura Rintaro Hirai Successful microsurgical lip replantation: Monitoring venous congestion by blood glucose measurements in the replanted lip JPRAS Open Lip Replantation Dog bite Blood glucose level Microsurgery Monitoring |
| title | Successful microsurgical lip replantation: Monitoring venous congestion by blood glucose measurements in the replanted lip |
| title_full | Successful microsurgical lip replantation: Monitoring venous congestion by blood glucose measurements in the replanted lip |
| title_fullStr | Successful microsurgical lip replantation: Monitoring venous congestion by blood glucose measurements in the replanted lip |
| title_full_unstemmed | Successful microsurgical lip replantation: Monitoring venous congestion by blood glucose measurements in the replanted lip |
| title_short | Successful microsurgical lip replantation: Monitoring venous congestion by blood glucose measurements in the replanted lip |
| title_sort | successful microsurgical lip replantation monitoring venous congestion by blood glucose measurements in the replanted lip |
| topic | Lip Replantation Dog bite Blood glucose level Microsurgery Monitoring |
| url | http://www.sciencedirect.com/science/article/pii/S2352587817300700 |
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