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Leech Therapy for Complex Facial Lacerations.

Authors:
Jason E Cohn Sammy Othman Marissa Evarts Paul Papajohn Jillian Mattioni Seth Zwillenberg

J Craniofac Surg 2021 Jun;32(4):e335-e337

Department of Otolaryngology-Head and Neck Surgery, Einstein Medical Center, Philadelphia, PA.

Abstract: Facial trauma can pose challenging reconstructive obstacles in both maintaining tissue viability and restoring aesthetic appearance. Medicinal leech therapy can help to promote vascular decompression in the setting of venous congestion. A retrospective chart review was conducted to identify patients who underwent medicinal leech therapy following venous stasis secondary to repair of a complex facial laceration. Three patients were identified; 2 suffered auricular avulsion, while 1 suffered a lip avulsion. All patients suffered from venous congestion and underwent medicinal leech therapy for 48 to 72 hours with reduction of edema and stasis. Decompression was successfully achieved with no further sequelae on last follow-up. Medicinal leech therapy is an adequate treatment for venous congestion following traumatic soft-tissue repair of the face. The authors advocate for the utilization of medicinal leeches to combat venous congestion after repair, particularly when arterial inflow remains intact.

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http://dx.doi.org/10.1097/SCS.0000000000007111DOI Listing
June 2021

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