{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T07:38:58Z","timestamp":1767857938493,"version":"3.49.0"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,12,12]],"date-time":"2017-12-12T00:00:00Z","timestamp":1513036800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:p>Dog bite injuries are common sources of morbidity with an estimated incidence of 4.5\u00a0million bites per year with over 350,000 requiring treatment in the emergency room. Children under the age of 14 are most likely to be affected with a peak age of 5\u20139\u00a0years old. We report a case of a 24\u2010month\u2010old female who sustained a large composite facial avulsion injury from a pit bull dog bite. The avulsed tissue involved a substantial portion of the patient's mid\u2010face, including the entire soft tissue of the nose, upper lip, part of the left cheek, and left oral commissure. Artery\u2010only microvascular replantation was performed because no recipient vein could be identified from the facial defect. Medicinal leech therapy was used for eight days postoperatively to prevent venous congestion. The patient experienced significant blood loss due to leech therapy and required nearly 29\u00a0L of blood product replacement. At the last follow up of 8\u00a0months postoperatively, the patient was recovering well with significant improvement in function and cosmesis of the mid\u2010face. This case describes a successful artery\u2010only replantation of an avulsive bite injury to the face of a young child. Despite the technical difficulty of cases such as this one, microvascular replantation should be attempted because when successful it provides a superior cosmetic and functional result to other reconstructive techniques.<\/jats:p>","DOI":"10.1002\/micr.30275","type":"journal-article","created":{"date-parts":[[2017,12,12]],"date-time":"2017-12-12T07:44:43Z","timestamp":1513064683000},"page":"218-221","source":"Crossref","is-referenced-by-count":7,"title":["Microvascular replantation of a composite facial avulsion in a 24\u2010month\u2010old child after dog bite"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0538-6259","authenticated-orcid":false,"given":"David","family":"Macias","sequence":"first","affiliation":[{"name":"Loma Linda University School of Medicine Loma Linda California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel I.","family":"Kwon","sequence":"additional","affiliation":[{"name":"Loma Linda University Department of Otolaryngology, Head and Neck Surgery Loma Linda California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul C.","family":"Walker","sequence":"additional","affiliation":[{"name":"Loma Linda University Department of Otolaryngology, Head and Neck Surgery Loma Linda California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathaniel R.","family":"Peterson","sequence":"additional","affiliation":[{"name":"Loma Linda University Department of Otolaryngology, Head and Neck Surgery Loma Linda California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,12,12]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3182468216"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20018"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30182"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.08.002"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2014.09.051"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0009922816657153"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199106000-00017"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12663-012-0468-1"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181addad9"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2009.10.012"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920090309"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22411"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.21960"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2014.09.001"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/injuryprev-2012-040389"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200012000-00001"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cden.2009.08.005"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2011.08.042"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-016-2629-5"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-200045020-00021"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.279.1.51"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.30275","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30275","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T21:35:14Z","timestamp":1695504914000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.30275"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,12]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1002\/micr.30275"],"URL":"https:\/\/doi.org\/10.1002\/micr.30275","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,12]]}}}