Replantation of Facial Tissue Mass

A 56-year-old man suffered amputated tissue mass caused by a nose hurt and was admitted to the hospital in 2 h. Physical Examination (PE): The general situation was good; the vital signs were stable. There was a 3.5 cm × 2.0 cm irregular wound on the nose, including the tip and the left side of the nose. The amputated tissue mass was also irregular and seriously polluted. Successful debridement and replantation were performed under anesthesia under emergency conditions. First, the nasal vestibular skin was sutured from inside to outside; then sutured the subcutaneous layer of the amputated nasal tip back without dead space; and finally, intermittently sutured the dermis and skin of the tip and alar with needle distance 5 mm and margin distance 2 mm. Both sides of the nasal cavity were Filled with iodoform gauze plug, not too tight, and the replanted site shined with 60 W lamp for 24 h after the operation. Conventional treatments such as antibiotics, hormones, and antispasmodics should be carried out for 7 days, and the suture was removed. The replanted tissue mass successfully survived, and the appearance and function were good after 4-year follow-up (Fig. 38.1).