This study reports four cases of hand avulsion at the proximal wrist level and multiple digits amputation were received in plastic and hand surgery unit during the year 2007-2008. All patients were male labors between 22-30 years old, and the amputation due to machine injuries. Successful replantation were achieved, after a period of follow up with occupational therapy all patients regain good ...

The most important factors determining periodontal healing after replantation of an avulsed tooth are the extra oral period and the media in which the tooth is preserved before replantation. This case report describes an adequate periodontal healing of an avulsed immature tooth replanted after 20 min of extra alveolar dry time. Vitality was not regained and after disinfection of the pulp space ...

After studying this article, the participant should be able to: 1. Determine which patients are suitable candidates for nasal replantation. 2. Appreciate the difficulty and challenge that is required to replant specialized facial structures. 3. Realize that the replantation of specialized facial structures may result in extensive blood loss. 4. Formulate an educated decision regarding the decis...

LEARNING OBJECTIVES After studying this article, the participant should be able to: 1. Understand the anatomy of the fingertip. 2. Describe the methods of evaluating fingertip injuries. 3. Discuss reconstructive options for various tip injuries. SUMMARY The fingertip is the most commonly injured part of the hand, and therefore fingertip injuries are among the most frequent injuries that plast...

OBJECTIVE To evaluate the factors that influence the survival rate of replantation and revascularization of the thumb and/or fingers. METHODS We included fifty cases treated in our department from May 2012 to October 2013 with total or partial finger amputations, which had blood perfusion deficit and underwent vascular anastomosis. The parameters evaluated were: age, gender, comorbidities, tr...

To study the impact of stellate ganglion block (SGB) on digital replantation and analyze its mechanism. Digital arterial diameter was enlarged after SGB, and the difference in the survival rate of severed finger after replantation was not statistically significant between the two groups (P>0.05). Through the treatment with Methycobal, the recovery of 2-point discrimination (2-pd) of the experim...

Replantation of a permanent tooth is an intervention that carries the same responsibilities in terms of informed consent as a surgical procedure. Unlike many procedures that can be planned in advance, an avulsion requires decision-making shortly after the injury, often by a distraught patient or parent. Under these circumstances, patients or parents prefer, or may even pressure, clinicians to m...

Heterotopic or transpositional replantation of digits is technically feasible with results similar to those of conventional replantation procedures. Occasionally in multiple digital amputations not all the digits may be replanted in their correct place as a result of complex injuries proximal to the amputation zone or severe damage to important fingers. In these circumstances the amputated digi...

OBJECTIVE The aim of this study was to assess the knowledge level of emergency measures for tooth avulsion among Kuwaiti parents. SUBJECTS AND METHODS Sixty-three parents completed an Arabic language questionnaire about their first-aid knowledge. The following fields of knowledge were assessed: general body injury treatment principles, tooth avulsion and replantation principles, avulsed perma...

SUMMARY OBJECTIVES The purpose of this study was to investigate time-related dental tissue reactions to tooth replantation in mature and immature human premolars by histomorphometric and radiographic methods. MATERIAL AND METHODS Sixty premolars were extracted, immediately replanted (T0), and left without intervention for 1, 2, 3, 6, 12, and 24 weeks before re-extraction (T1). Periapical radi...