PT  - JOURNAL ARTICLE
AU  - Pou, Jason D.
AU  - Graham, H. Devon
TI  - Pediatric Nasal Tip Amputation Successfully Treated with Nonmicrovascular Replantation and Hyperbaric Oxygen Therapy
DP  - 2017 Jun 20
TA  - Ochsner Journal
PG  - 204--207
VI  - 17
IP  - 2
4099  - http://www.ochsnerjournal.org/content/17/2/204.short
4100  - http://www.ochsnerjournal.org/content/17/2/204.full
SO  - Ochsner J2017 Jun 20; 17
AB  - Background: Nasal tip amputation is a rare but difficult problem to manage. Nonmicrovascular nasal tip replantation is a valid and relatively simple repair option for moderate nasal defects, but tissue ischemia and graft failure occur frequently.Case Report: We present the case of a pediatric nasal tip amputation from a dog bite treated with replantation within 5 hours. The 2.5-cm avulsed tip contained skin, cartilage, and mucosa and was replanted as a 3-layer composite graft. Hyperbaric oxygen (HBO) therapy was initiated for 2 weeks postoperatively. The outcome was functionally adequate, and the majority of the native nasal tissue was salvaged.Conclusion: HBO therapy can be used after nonmicrovascular nasal tip replantation to improve graft survival and potentially decrease the need for revision surgery.