British Journal of Oral and Maxillofacial Surgery
Volume 36, Issue 6 , Pages 462-464, December 1998

Medicinal leeches used to salvage a traumatic nasal flap

  • B.W. Mortenson, DMD, MS (Resident)

      Affiliations

    • Department of Oral and Maxillofacial Surgery The University of Washington Seattle Washington, USA
  • ,
  • K.H. Dawson, BDS, MDSc, FRACDS(OMS) (Assistant Professor)

      Affiliations

    • Department of Oral and Maxillofacial Surgery The University of Washington Seattle Washington, USA
  • ,
  • C. Murakami, MD (Assistant Professor)

      Affiliations

    • Corresponding Author InformationCorrespondence and requests for offprints to: Kenneth Dawson Assistant Professor, Department of Oral & Maxillofacial Surgery, # 357134, The University of Washington, Seattle, Washington, 98195-7134, USA
    • Department of Otolaryngology/Head and Neck Surgery The University of Washington Seattle Washington, USA

Received 4 September 1996; accepted 20 May 1997.

Abstract 

We report a case in which medicinal leeches (Hirudo medicinalis) were used to rescue a traumatic nasal flap from venous congestion and loss. A healthy 18-year-old had a bicycling accident and, in addition to other facial injuries, presented with a complex full thickness nasal laceration. After he had been resuscitated and the flap sutured, he was treated with two leeches four times a day for 48 h. His recovery was satisfactory and uncomplicated. Oral and maxillofacial surgeons should be familiar with the use of leeches, as they have a small but occasionally important role in the management of both traumatic and reconstructive flaps.

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PII: S0266-4356(98)90465-X

British Journal of Oral and Maxillofacial Surgery
Volume 36, Issue 6 , Pages 462-464, December 1998