Replantation of the amputated nose

Philip J. Miller, Craig Hertler, George Alexiades, Ted Cook

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Objective: To assess the effectiveness of replantation in the treatment of nasal amputations. Design: Retrospective chart review. Selling: A university medical center. Results: In no case did the replant survive completely, and in all cases revision surgery was required. However, in all cases, the resulting deformity was less than the original defect. In our pediatric patients, reconstruction with cartilage grafting and a midline forehead flap was successful and demonstrated proportionate and appropriate growth. Conclusions: It is our belief that replantation serves many therapeutic functions. At the very least, there is the psychological/emotional factor that is involved in attempting to replace a native body part that has been severed. Also, it is difficult to persuade parents and patients that the amputated tissue that has been handled with kid gloves by paramedics, maintaining its pink 'alive' color, is ultimately doomed to failure. Forehead flaps and conchal cartilage grafts are more willingly accepted after a 'failed' replantation than as primary reconstructions. In every instance, we believe, the ultimate defect will be smaller than the original deformity. Certainly, the need for vestibular lining reconstruction is far less. Thus, the ultimate healed defect from the replantation greatly facilitates final nasal reconstruction.

Original languageEnglish (US)
Pages (from-to)907-910
Number of pages4
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume124
Issue number8
StatePublished - Aug 1998

Fingerprint

Replantation
Nose
Forehead
Cartilage
Allied Health Personnel
Reoperation
Amputation
Human Body
Color
Parents
Pediatrics
Psychology
Transplants
Therapeutics
Growth

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Miller, P. J., Hertler, C., Alexiades, G., & Cook, T. (1998). Replantation of the amputated nose. Archives of Otolaryngology - Head and Neck Surgery, 124(8), 907-910.

Replantation of the amputated nose. / Miller, Philip J.; Hertler, Craig; Alexiades, George; Cook, Ted.

In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 124, No. 8, 08.1998, p. 907-910.

Research output: Contribution to journalArticle

Miller, PJ, Hertler, C, Alexiades, G & Cook, T 1998, 'Replantation of the amputated nose', Archives of Otolaryngology - Head and Neck Surgery, vol. 124, no. 8, pp. 907-910.
Miller PJ, Hertler C, Alexiades G, Cook T. Replantation of the amputated nose. Archives of Otolaryngology - Head and Neck Surgery. 1998 Aug;124(8):907-910.
Miller, Philip J. ; Hertler, Craig ; Alexiades, George ; Cook, Ted. / Replantation of the amputated nose. In: Archives of Otolaryngology - Head and Neck Surgery. 1998 ; Vol. 124, No. 8. pp. 907-910.
@article{71ccfe8e464d44d7ac23c81b8d00c78a,
title = "Replantation of the amputated nose",
abstract = "Objective: To assess the effectiveness of replantation in the treatment of nasal amputations. Design: Retrospective chart review. Selling: A university medical center. Results: In no case did the replant survive completely, and in all cases revision surgery was required. However, in all cases, the resulting deformity was less than the original defect. In our pediatric patients, reconstruction with cartilage grafting and a midline forehead flap was successful and demonstrated proportionate and appropriate growth. Conclusions: It is our belief that replantation serves many therapeutic functions. At the very least, there is the psychological/emotional factor that is involved in attempting to replace a native body part that has been severed. Also, it is difficult to persuade parents and patients that the amputated tissue that has been handled with kid gloves by paramedics, maintaining its pink 'alive' color, is ultimately doomed to failure. Forehead flaps and conchal cartilage grafts are more willingly accepted after a 'failed' replantation than as primary reconstructions. In every instance, we believe, the ultimate defect will be smaller than the original deformity. Certainly, the need for vestibular lining reconstruction is far less. Thus, the ultimate healed defect from the replantation greatly facilitates final nasal reconstruction.",
author = "Miller, {Philip J.} and Craig Hertler and George Alexiades and Ted Cook",
year = "1998",
month = "8",
language = "English (US)",
volume = "124",
pages = "907--910",
journal = "JAMA Otolaryngology - Head and Neck Surgery",
issn = "2168-6181",
publisher = "American Medical Association",
number = "8",

}

TY - JOUR

T1 - Replantation of the amputated nose

AU - Miller, Philip J.

AU - Hertler, Craig

AU - Alexiades, George

AU - Cook, Ted

PY - 1998/8

Y1 - 1998/8

N2 - Objective: To assess the effectiveness of replantation in the treatment of nasal amputations. Design: Retrospective chart review. Selling: A university medical center. Results: In no case did the replant survive completely, and in all cases revision surgery was required. However, in all cases, the resulting deformity was less than the original defect. In our pediatric patients, reconstruction with cartilage grafting and a midline forehead flap was successful and demonstrated proportionate and appropriate growth. Conclusions: It is our belief that replantation serves many therapeutic functions. At the very least, there is the psychological/emotional factor that is involved in attempting to replace a native body part that has been severed. Also, it is difficult to persuade parents and patients that the amputated tissue that has been handled with kid gloves by paramedics, maintaining its pink 'alive' color, is ultimately doomed to failure. Forehead flaps and conchal cartilage grafts are more willingly accepted after a 'failed' replantation than as primary reconstructions. In every instance, we believe, the ultimate defect will be smaller than the original deformity. Certainly, the need for vestibular lining reconstruction is far less. Thus, the ultimate healed defect from the replantation greatly facilitates final nasal reconstruction.

AB - Objective: To assess the effectiveness of replantation in the treatment of nasal amputations. Design: Retrospective chart review. Selling: A university medical center. Results: In no case did the replant survive completely, and in all cases revision surgery was required. However, in all cases, the resulting deformity was less than the original defect. In our pediatric patients, reconstruction with cartilage grafting and a midline forehead flap was successful and demonstrated proportionate and appropriate growth. Conclusions: It is our belief that replantation serves many therapeutic functions. At the very least, there is the psychological/emotional factor that is involved in attempting to replace a native body part that has been severed. Also, it is difficult to persuade parents and patients that the amputated tissue that has been handled with kid gloves by paramedics, maintaining its pink 'alive' color, is ultimately doomed to failure. Forehead flaps and conchal cartilage grafts are more willingly accepted after a 'failed' replantation than as primary reconstructions. In every instance, we believe, the ultimate defect will be smaller than the original deformity. Certainly, the need for vestibular lining reconstruction is far less. Thus, the ultimate healed defect from the replantation greatly facilitates final nasal reconstruction.

UR - http://www.scopus.com/inward/record.url?scp=0031854140&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031854140&partnerID=8YFLogxK

M3 - Article

C2 - 9708718

AN - SCOPUS:0031854140

VL - 124

SP - 907

EP - 910

JO - JAMA Otolaryngology - Head and Neck Surgery

JF - JAMA Otolaryngology - Head and Neck Surgery

SN - 2168-6181

IS - 8

ER -