Case Three

Summary: A 22-year-old male patient who suffered a severe crush injury to his right ear. The injury was caused by a concrete mixer resulting in almost complete avulsion of his right ear with multiple and extensive contusion crush-type lacerations. The ear was reattached. About 10 hours postoperatively, obvious venous congestion was noted. It was felt that medicinal leeches were required to salvage the ear

16 Hours Postoperatively:
The photograph shows severe venous congestion in the reimplanted ear following surgery.

48 Hours Postoperatively:
4 leeches have been applied every 8 hours. A definite improvement in venous
congestion was noted.

Two Months Postoperatively:
The entire ear survived except for a small area around the lobule of the ear.

72 Hours Postoperatively:
3 leeches have been applied every 8 hours. The ear was less swollen and obviously viable with markedly improved venous drainage.

Procedures illustrated in cases two and three were performed successfully by Dr. Kulwant S. Bhangoo, M.D., F.R.C.S., FACS, FICS, Chief of Plastic Surgery at Mercy Hospital, Buffalo, New York.

Case 2
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