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@hidocdr
Motor vehicle accident! A 17 year old male presented to the emergency room 2 hours after sustaining an amputation of his nose and upper lip as he was ejected through the windshield in a motor vehicle accident. The upper lip was amputated in continuity with the nose, resulting in a 90% defect of the upper lip (Fig.1). Microsurgical clamps were used to mark the superior labial arteries bilaterally and the left dorsal nasal artery (Fig. 2). As the venous anastomoses were completed, a 5,000 unit heparin bolus was given intravenously. Good venous outflow was achieved and maintained (Fig. 3). No complications occurred postoperatively. At his 18 month follow-up, the patient demonstrated excellent nasal airway patency and was very satisfied with his aesthetic result (Fig. 4). . Credit: @medicase_original Follow @hidocdr for daily medical cases. #hidoc #surgery #surgeon #anatomy #pathology #scan #cardiacsurgery #diabetes #eye #eyesurgery #diabeticfoot #doctors #doctorlife #ulcers #patients #death #healthcare
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