Case Two

Summary: A 45-year-old, white male patient who suffered a complete avulsion of the upper two-thirds of his right ear. The ear was reattached by doing a microvascular anastomosis of a small artery anteriorly. No veins were available for anastomosis. Soon after anastomosis, there was obvious venous congestion. Medicinal leeches were used for treating venous congestion.

48 Hours Postoperatively:
3 leeches have been applied every 8 hours.
Following the initial application, obvious improvement was noted.

24 Hours Postoperatively:
The photograph shows severe venous congestion in the reimplanted ear following complete avulsion.

6 Days Postoperatively:
The entire reimplanted ear was viable and healing well.

72 Hours Postoperatively:
3 leeches have been applied every 8 hours for periods of 15 to 30 minutes. Marked improvement in color with decreased swelling and congestion was noted.

Two Months Postoperatively:
Complete survival of re-attached ear

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 1
Case 3
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