Pediatric Lip Replantation: A Case of Supermicrosurgical Venous Anastomosis

Lip replantation is a rare and complex microsurgical procedure.[ 1 ] [ 2 ] Establishment of adequate venous outflow following arterial anastomosis is a challenge, especially in pediatric population given the size of the vessels. Leech therapy and scratching techniques under anticoagulation have been employed to improve venous drainage; however, these have the disadvantage of blood loss, scarring, and risk of infection. Here, we describe an upper lip replantation in a 2-year-old child following a dog bite injury using supermicrosurgical techniques for venous drainage.