Hirudotherapy in Reconstruction Surgery of Head and Neck – Our First Experience


Authors: M. Almaši;  L. Kaliarik;  J. Kovaľ
Authors‘ workplace: Klinika otorinolaryngológie a chirurgie hlavy a krku LF UPJŠ a FNLP, Košice prednosta prof. MUDr. J. Kovaľ, CSc.
Published in: Otorinolaryng. a Foniat. /Prague/, 57, 2008, No. 2, pp. 98-101.
Category: Case History

Overview

Use of the medicinal leech is a common treatment of complications in reconstructive and plastic surgery, moreover for salvage of pedicled and free microvascular flaps, used for covering of extensive postoperative defects. Authors present their first experience with leech therapy in patient with complicated healing of lower myocutaneous trapezius muscle flap used in reconstruction of the defect of parotid region of the face after removal of extensive basalioma. Positive effects on a flap healing and encouraging treatment outcomes reviewed in the literature predetermine the use of leeches for complicated flap healing following venous congestion.

Key words:
medicinal leech treatment, myocutaneous flaps, microvascular flaps.


Sources

1. Almaši, M.: Dolný muskulokutánny lalok z m. trapezius v rekonštrukcii rozsiahlych defektov temporálnej a parotickej oblasti hlavy. Otorinolaryng.a Foniat. (Prague), 57, 2008, s. 44-48.

2. Ardehali, B., Hand, K., Nduka, C., Holmes, A:, Wood, S.: Delayed leech-borne infection with Aeromonas hydrophilia in escharotic flap wound. J. Plast. Reconstr. Aesthet. Surg., 59, 2006, s. 94-95.

3. de Chalain, T. M.: Exploring the use of the medicinal leech: a clinical risk-benefit analysis. J. Reconstr. Microsurg., 12, 1996, s. 165-172.

4. Franc, V.: Systém a fylogenéza živočíchov- bezchordáty. (Doplnená prepracovaná verzia II). Katedra biológie Fakulty prírodných vied, UMB Banská Bystrica, 2005, s. 49-51.

5. Hayden, R. E., Phillips, J. G., McLear, P. W.: Leeches. Objective monitoring of altered perfusion in congested flaps. Arch. Otolaryngol Head Neck Surg., 114, 1988, s. 1395-1399.

6. Kalbermatten, D. F., Rieger, U. M., Uike, K., Laifer, G., Hintermann, B., Pierer, G.: Infection with Aeromonas hydrophila after use of leeches (Hirudo medicinalis) in free microvascular osteo-(myo-) cutaneous flap- - suggestions for succesful management. Handchir. Mikrochir. Plast. Chir., 39, 2007, s. 108-111.

7. Knobloch, K., Gohritz, A., Busch, K., Spies, M., Vogt, P., M.: Hirudo medicinalis- leech applications in plastic and reconstructive microsurgery- a literature review. Handchir. Mikrochir. Plast. Chir., 39, 2007, s. 103-107.

8. Kraemer, B. A., Korber, K. E., Aquino, T. I., Engleman, A.: Use of leeches in plastic and reconstructive surgery - a review. J. Reconstr. Microsurg., 4, 1988, s. 381-386.

9. Rigbi, M., Orevi, M., Eldor, A.: Platelet aggregation and coagulation inhibitors in leech saliva and their roles in leech therapy. Semin. Thromb. Hemost., 22, 1996, s. 273-278.

10. Sohn, J. H., Kang, H. A., Rao, K. J., Kim, C. H., Choi, E. S., Chung, B. H., Rhee, S. K.: Current status of the anticoagulant hirudin: its biotechnological production and clinical practice. Appl. Microbiol. Biotechnik, 57, 2001, s. 606-613.

11. Utley, D, S., Koch, R. J., Goode, R. L.: The failing flap in facial plastic and reconstructive surgery: role of the medicinal leech. Laryngoscope, 108, 1998, s. 1129-1135.

12. Whitaker, I. S., Izadi, D., Oliver, D. W., Monteath, G., Butler, P. E.: Hirudo medicinalis and the plastic surgeon. Br. J..Plast..Surg., 57, 2004, s. 348-353.

13. Whitaker, I. S., Rao, J., Izadi, D., Butler, P. E.: Historical article: Hirudo medicinalis: ancient origins of, and trends in the use of medicinal leeches throughout history. Br..J..Oral. Maxillofac. Surg., 42, 2004, s. 133-137.

Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)
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